University Student Registration

University Student

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* Indicates Required Field

*DSU EMPL ID#:  

*Title:   

*First Name:  

 Middle Name:  

*Last Name:  

Name you would like to see appear on your nametag:  


Current Street Address

*Address:  

*City:  

*State:  

*Zip:  

Summer Address (If different from current address)

Address:  

City:  

State:  

Zip:  

*Home Town:  

*Home Town State:  


Campus Phone: 

*Permanent Phone:  

Work Phone:  

Cell Phone:  

*Email Address:  


College Information

Major:  

Year In College:  

Expected Graduation Date:  

*I prefer to be in the following type of company:  


Other Information

T - Shirt Information:  

How did you hear about Business Challenge?  

Other: