2024 SOARS Conference Registration Form
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Email *
Last Name *
First Name *
Phone Number *
Please include area code
Phone Number (Enter phone number again, with area code, to ensure accuracy.) *
Mailing Address:  Street Number/Apartment Number *
Mailing Address:  City or Town *
Mailing Address:  State *
Mailing Address:  Zip Code *
Mentor's Last Name *
Please do NOT include first names OR titles, such as Mrs. Ms., Mr. or Dr.
Name of class or program (CSTEP, Capstone) in which you completed this work. *
If this work was completed through the Community College in the High School Program (CCHSP), which high school do you attend? *
Title of Presentation (This title will appear in the SOARS  Program.) *
Which of the following will you be submitting to Dr. Iannuzzi by the December 16th deadline? *
Special Requests *
If there is a special request, please describe that request.
I understand that pictures and video of my presentation may be taken/recorded and posted on the SOARS website.  (Please contact Dr. Iannuzzi with any questions at:  michele.iannuzzisucich@sunyorange.edu)
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Required
I understand that I MUST email my submission to Dr. Iannuzzi by the December 16th deadline in order to be eligible to participate in the SOARS Conference.
(Email:   michele.iannuzzisucich@sunyorange.edu)

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A copy of your responses will be emailed to the address you provided.
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