University: * - Select -Bloomsburg UniversityCalifornia UniversityCheyney UniversityClarion UniversityEast Stroudsburg UniversityEdinboro UniversityIndiana UniversityKutztown UniversityLock Haven UniversityMansfield UniversityMillersville UniversityShippensburg UniversitySlippery Rock UniversityWest Chester UniversityOther University Other College Or Department: * Contact Name: * How Many State System Staff Will Be Attending? * Contact Title: * Contact Address: * Contact Email: * Contact Phone Number: * Meeting/Event Purpose: * How Is The Event Tied To The University Or The State System? * Who Is Attending Meeting/Event? * How Many State System Faculty Will Be Attending? * How Many State System Faculty Will Be Presenting? * How Many State System Students Will Be Attending? * What Other State System Universities Will Be Participating? * Requested Dates & Times: * Estimated Number Of People: * Will You Serve Food & Beverage? * Yes No Who Is Paying For Food & Beverage? * Leave this field blank
