NYSAA Advocacy Day Registration Form

Please complete the fields below to register. * Required fields.

Institution: *

Campus Administrator: *

Title:

Address: *

City: *

State: *

Zip: *

Phone: *

Email: *

How many students:

How many other participants:

Please list any other campus administrators or Presidents that will be attending:

Estimated total attendees: *

For cIcu member campuses (Click here for a list of eligible campuses)

I would like cIcu to arrange my legislative appointments:

Yes