Geneva College

 

 

Winter Institute Registration 2015


Use the Form Below to register for Geneva College's Higher Education Winter Institute:

January 5-9, 2015

Personal Information
Name:
Address
City
State
Zip
Cell Phone
Work Phone
Email *
Winter Institute Course Registration
Select the course you desire to attend: *
Foundations of Counseling and Advising - Dr. Erik Wessel
Gender and Higher Education - Dr. Jolyn Dahlvig
Leadership and Change - Dr. Stephanie Santarosa
Housing Registration
Select Housing Option:
I will not need housing at Winter Institute
I would like housing during Winter Institute and am willing to share a room. ($165)
I would like housing during winter Institute for myself only. ($330)
Preferred Roommate (If applicable)
Flight Information (for airport pickup)
Arrival Date and Time:
Airline and Flight Number:
Departure Date and Time:
Airline and Flight Number: