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Advocacy Day
Registration
Advocacy Day - February 2019
Please complete the registration form below to sign up for the Advocacy Day on February 18-19, 2019. This event will be held at Best Western Plus Capitol Ridge in St. Paul, MN.
Attendee Contact Information
First Name
Last Name
Attendee preferred email address
School/Work
Personal
School/Work Email
PLEASE NOTE:
Enter the attendee's email address ONLY!
Our database is linked to this form and putting a non-attendee email will overwrite the record associated to that email with the attendee information.
Personal Email
PLEASE NOTE:
Enter the attendee's email address ONLY!
Our database is linked to this form and putting a non-attendee email will overwrite the record associated to that email with the attendee information.
All registered conference attendees will be added to LeadMN's Association Update email list. You can opt out of these emails at any time.
Cell Phone Number
Home Address
(LeadMN is using this information to set up meetings with legislators for your district.)
City
Zip Code
Position on your campus
Please select...
Campus Advisor
Student Senate President
Student Senate Vice President
Director of Communication/Public Relations Coordinator
Legislative Director
Secretary
Treasurer
Senator
Position within LeadMN
Please select...
LeadMN Cabinet Member
LeadMN Governing Council Representative
LeadMN Governing Council Alternate
LeadMN Platform Committee Representative
LeadMN Platform Committee Alternate
Campus Name
Please select...
Alexandria Technical and Community College
Anoka Technical College
Anoka Ramsey Community College-Cambridge
Anoka Ramsey Community College-Coon Rapids
Central Lakes College-Brainerd
Central Lakes College-Staples
Century College
Dakota County Technical College
Fond du Lac Tribal and Community College
Hennepin Technical College-Brooklyn Park
Hennepin Technical College-Eden Prairie
Hibbing Community College
Inver Hills Community College
Itasca Community College
Lake Superior College
Mesabi Range College-Eveleth
Mesabi Range College-Virginia
Minneapolis College
Minnesota State College Southeast-Red Wing
Minnesota State College Southeast-Winona
Minnesota State Community and Technical College-Detroit Lakes
Minnesota State Community and Technical College-Fergus Falls
Minnesota State Community and Technical College-Moorhead
Minnesota State Community and Technical College-Wadena
Minnesota West Community and Technical College-Canby
Minnesota West Community and Technical College-Granite Falls
Minnesota West Community and Technical College-Jackson
Minnesota West Community and Technical College-Luverne Site
Minnesota West Community and Technical-Pipestone
Minnesota West Community and Technical College-Worthington
Normandale Community College
North Hennepin Community College
Northland Community and Technical College-East Grand Forks
Northland Community and Technical College-Thief River Falls
Northwest Technical College
Pine Technical College
Rainy River Community College
Ridgewater College-Hutchinson
Ridgewater College-Willmar
Riverland Community College-Albert Lea
Riverland Community College-Austin
Riverland Community College-Owatonna
Rochester Community and Technical College
Saint Paul College
South Central College-Faribault
South Central College-North Mankato
Saint Cloud Technical and Community College
Vermilion Community College
Attendee Gender
Male
Female
(for roommate matching purposes)
Requested Rooming Rate for attendee:
Please select...
Single - $170 (1 person per room)
Double - $105 (2 people per room with 2 beds)
Triple - $85 (3 people per room with 2 beds)
Quad - $75 (4 people per room with 2 beds)
Meals Only - $45
Preferred Roommate(s)
Please specify first and last name of requested roommate(s). Note that not all requests can be honored.
Is this the attendees first LeadMN event?
Yes
No
T-Shirt Size
(Every attendee will receive a T-Shirt to wear Tues, Feb 19.)
Please select...
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Other
Other: What size T-Shirt?
Does the attendee have any special dietary, rooming, or other accommodation requests?
Please specify food allergies, dietary restrictions, and ADA requests here.
Advisor & Attendee Email Addresses for Registration Confirmation
You can add multiple email addresses separated by a comma
About
What We Do
Leadership & Structure
Equity and Inclusion
Jobs & Internships
Center for Learning
Contact Us
Action Center
Scholarships
Stories
News
Events
Upcoming Events
Past Events
Be a Speaker
Why Donate
Member Tools