Bearkat Awakening #13 -- Sept. 23-25, 2011
Staff Registration
Please completely fill out the following registration form to Staff at Bearkat Awakening #13
Full Name        Date of Birth 

Permanent Information:

Permanent Address
Street/ PO Box 

City  State     Zip code

Permanent phone#

Current Information:
Current/Local Address:

Street/ PO Box (IF on SHSU put  SHSU next to it)

City  State     Zip code

Current/local phone# 

Your E-mail address 

Your Webpage 

Education Information:

University/College Attending? 

University/College Classification

 Major     Minor 

Awakening Information:

What Awakening did you make? i.e.: SFA, Aggie, LA, Rader, Crossroads, etc...

What number?

Staffs staffed:
Type in each staff you staffed, how many times next to them and the programs name that you staffed at.

 

Are you Out of Town or Intown for Fall 2010?

Staff preferences:
Number the following staff's in the order you wish to participate in starting with 1.

Table Prep Gopher Cook Music 

Interested in being on A-staff? 

Like to give a talk? 

Would you like to order a t-shirt? Size 

Comments and additional information