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2019 Youngstown State University Counselor Program

Thank you so much for your interest in attending Youngstown State University's 53rd Annual Counselor Program! We look forward to hosting you on campus Friday, December 6, 2019, for another great program.

Please fill out the following form to register for the program.

*If you have fellow counselors who also wish to attend, please have them register individually*

1. First name: *This question is required.

2. Last name: *This question is required.

3. Email address (for confirmation email): *This question is required. This question requires a valid email address.

4. High School Information: *This question is required.

School Name:
School Address:
School City:
School State:
School Zip Code:
School Phone:

5. For Break-out Tour Session 1, which college are you interested in visiting? *This question is required.

6. For Break-out Tour Session 2, which college are you interested in visiting? *This question is required.

7. Do you plan to stay for lunch? *This question is required.

Do you have any dietary restrictions/allergies? *This question is required.

Please list your restrictions/allergies below: *This question is required.