DEPARTMENT OF
MANAGEMENT INFORMATION SYSTEMS &
COMPUTER INFORMATION SYSTEMS
Contest Registration Form
1.
Student name
First Name
Last Name
2
Student ID
3
.
I am interested in:
Note: Please check all boxes apply.
1. Math, Logic, Technology
2. Essay Contest
3. Debate Contest
4
.
Class Standing
Please Select
Freshman
Sophomore
Junior
Senior
5
.
Major
6
.
Department
7
.
BU E-mail:
8
.
Alternate E-mail:
9.
Phone Number with xxx-xxx-xxxx format.
10.
Cell Phone Number with xxx-xxx-xxxx format.
11.
Local Address:
12.
Permanent Address:
