“Realizing the College Dream” Registration Form
(Please Register by October 19th)

Send to:

Marsha Johns
Educational Talent Search
Robinson House - UNH
Durham, NH 03824 Fax 603-862-3270

or e-mail marsha.johns@unh.edu

• I will attend NEOA’s ETS/UB/EOC/GearUp Professional Development Day on 11/5/07:

Name: ________________________________ Program/Title: _____________________________

Work Address: ____________________________________________________________________

Work E-mail: ______________________________ Work Phone: ___________________________

Check One:

__I am a 2007-08 member of NEOA and will pay my dues by Nov. 5, 2007.

__ I am not a member of NEOA and will pay the $50 registration fee.