AHANA registration

Participant information:
First name:
Last name:
E-mail:
Address:
City:
State:
Zip:

Emergency contact:
Name:
Relationship:
Phone:

Ethnic background (choose all that apply):
American Indian/Alaska Native Asian Black or African American Latino or Hispanic Native Hawaiian or Pacific Islander White Other Perfer not to specify

Dietary needs:
Vegan Vegetarian Allergies
Please list food allergies or other food specific accommodations here.

Disability services (optional):
If you are a wheelchair-bound student, hearing impaired, or visually impaired are there specific concerns or accommodations you will require during the orientation program?
Please list request accommodations here.

Resident status:
Living on campus Commuter

Parents or guardians (for those who plan to attend the welcome dinner.)
Number of parents/guardians that will attend the welcome dinner

Office of Intercultural Initiatives

About OII

OII staff