Form - To Shine a Light

Date: Monday, April 8th, 2013
Time: 1:50 PM - 3:10 PM & 4:00 PM - 6:30 PM
Location: Marillac Auditorium, Queens Campus

Personal Information

Prefix:

First Name:

Last Name:

E-mail:

Phone:

Department:

Your role (student, faculty, employee, community member?):

Number of students you are bringing to this event:

Number of other guests you are bringing to this event:

Event Selection

I will attend:

To Shine a Light: Awareness and the Transformation of Trauma