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NOVA 2022 VISION Virtual Conference Registration
April 12, 2022 from 4pm to 6pm
Please register using the first and last name that you will use to sign into the conference. Thank you!
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Email
*
Your email
Email
*
Your answer
First Name
*
Your answer
Middle Initial
Your answer
Last Name
*
Your answer
Student ID
*
Your answer
Date of Birth (mm/dd/yyy)
*
Your answer
Does anyone attending the event require any accommodations?
*
Interpreter for the Deaf
Other (Please specify)
Does anyone attending the event require an interpreter?
*
Yes
No
If you do require an interpreter, please specify which language.
Your answer
High School Attending
*
Your answer
Year of Graduation
*
2022
2023
2024
2025
Street Address
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Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
When do you (the student) want to start classes at NOVA?
*
Summer 2022
Fall 2022
Spring 2023
Other:
What do you want to study at NOVA?
Your answer
Any additional information we should know?
Your answer
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