Registration: Women in Engineering & Technology Day

Join us for a day of empowerment, learning, and engineering and technology activities. Please complete the form below. After registering, please submit signed and scanned parent forms (Permission for Online Learning and Electronic Communication During the Public Health Emergency Form, Media Consent Form, Behavioral Conduct Consent Form).

NOTE: This registration form is for individual students. If you need to register multiple students, please submit registration forms for each.

First Name^*

Last Name^*

Email^*

Preferred Phone^*

Home

Mobile

Non-US

Country^*

Mailing Address^*

Mailing Address 2

City^*

State^*

Zip Code^*

PARENT/GUARDIAN INFORMATION

First Name^*

Last Name^*

Email^*

Mobile Phone^*

OPTIONAL SECOND PARENT/GUARDIAN

First Name

Last Name

Mobile Phone

Academic Program of Interest^*

When will you begin college?^*

Most Recent High School Attended^*

What are you most interested in experiencing at this event? (Select up to 3)^*

Meet current engineering and technology students

Develop skills from the technical workshops

Learn about different careers in engineering and technology

Participate in engineering and technology activities

Meet other high school students who are interested in engineering and technology

Learn about NYIT College of Engineering and Computing Sciences academic programs

Other

Select Shirt Size^*

Attendees will receive a free adult unisex t-shirt

IMPORTANT: PARENT FORMS^*

In addition to completing this registration form, parents must also complete the following documents for each registrant under the age of 18:

These documents are to be emailed to wiet@nyit.edu to secure registration. Follow the instructions in your confirmation email.

Yes, I will complete and return the aforementioned forms by April 08, 2022.

Please enter the characters displayed in the image below^*