Event Pre-Registration Tool

Fields marked with an asterisk (*) are required.

First Name:
Last Name:
Yale Email Address:
Yale NetID:
Residential College:
Class:
Cell Phone (xxx-xxx-xxxx): Home Address:
      
Home State:
      
D.C. Address:
      

Internship Description (please be as specific as possible):
      
Internship Type:
Arrival Date (approx., MM-DD-09):
Departure Date (approx., MM-DD-09):
Are you a U.S. Citizen? Yes    No
Are you a resident of the D.C. Area (incl. MD & N.VA?) Yes    No

When you're ready, press .