NOTE: Please use this form to RSVP for an upcoming information session only. If you want us to send you information or download material, please use our Information Request page.

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Personal Information
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	How did you hear about us? Alumni Email Employer Event Friend Gradschool.com Known Information Session Internet Journal Newspaper Post Card/Mailing Publication Radio Search Engine Television Website Word of mouth --------------------------------- Other
	If known, please state the specific source:
	Select the quarter of entry WI12 SP12 SU12 FA12 SP13 SU13 FA13 SP14 SU14 FA14 (Terms vary by program)
*Scheduled Event
	Select the event you wish to attend: Select an event Columbus Info Session, Cup O'Joe, Wednesday, Jan. 11, 6-7:30pm Beavercreek Info Session, Books & Co. The Greene, Wed., Jan. 18, 6-7:30pm Cincinnati Info Session, Panera Bread, Springdale, Tues., Jan. 24, 6-7:00pm Cincinnati Info Session, Panera Bread, Springdale, Tues., Feb. 7, 6-7:00pm Beavercreek Info Session, Books & Co. The Greene, Wed., Feb. 15, 6-7:00pm Columbus Info Session, Cup O'Joe, Wednesday, Feb. 22, 6-7:30pm
	Have you attended an information session before? No Yes
	Are you an Antioch University Midwest Alumni? No Yes
* Please Indicate the Program(s) of Interest
Local (Regional) Programs
	The Undergraduate Studies BA Completion Program If known, please select the concentration(s):   Management Health & Wellness   Human Services Administration Humanities   (ECE) Early Childhood Education Project Management Certificate (Undergraduate)   Creative Writing Sustainability     Education Programs: Teacher Licensure   If known, please indicate level:   (ECE) Early Childhood Education (Grades PK-3)   (EDS) Mild to Moderate Intervention Specialist (Grades K-12)   (AYA) Adolescent & Young Adult (Grades 7-12)   (MCE) Middle Childhood Education (Grades 4-9)   (RE) Reading Endorsement (Grades K-12)   Please indicate concentrations, if any:     Alternative Resident Educator License (AREL) Master of Education in Educational Leadership and Principal Licensure (MEDOPL)
Limited Residency (Distance) Programs
	Graduate Programs in Conflict Analysis and Engagement Master of Arts Graduate Certificate Graduate Program in Management and Leading Change     Individualized Masters of Arts (IMA)
	Social Sciences Creative Writing Fiction/Non-Ficton Philosophy For IMA, please indicate your intended academic field of study if not listed above:
Academic History
* Indicate your academic history:	None Under 1 year 1-2 years Associates Bachelors Masters JD Ph.D.
Comments & Questions
		You are about to submit an RSVP for our upcoming information sessions. If you are intending to request information to be sent to you, or to download information, please see our Information Request page. If you cannot attend the session after submitting this form, please contact us at sas@mcgregor.edu to cancel your seat.