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Counseling Reception Registration

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Use the form below to register for the upcoming Master of Arts in Counseling Information Receptions:

I would like to attend the following Information reception: *
Tuesday, Mar. 24, 2015 - 3:30 to 4:30 p.m. (Room 2222) and 4:30 to 5:30 p.m. (Room 1120)
Tuesday, Apr. 21, 20153:30 to 4:30 p.m. (Room 2222) and 4:30 to 5:30 p.m. (Room 1120)
Would you like the opportunity to observe a counseling class prior to the session (3:45 p.m. - 4:30 p.m.)? *
Yes
No
Personal Information
Name *
Address *
City *
State *
Zip *
Contact Phone Number *
Email *
Desired Entry Term: 
How did you hear about the M.A. in Counseling program? 
Any questions? Call 724-847-6697