Non-PUC Student Registration

**A registration form MUST be completed for EACH person attending the conference.**

Notify your Mentors and Guests immediately to have them register online no later than Friday, March 22, 2013.


Please indicate if you will be partaking in:

Registration Fee of $50 (per student) must be received no later than Friday, March 22, 2013.
Fees are payable by:

  • Check or money order mailed to
    • Purdue University Calumet
      2200 169th Street
      Schneider Ave. Room G095
      Hammond, IN 46323
      ATTN: Donna Gescheidler
    • Made payable to: Purdue University Calumet
    • o Please put in memo: 21st Annual Clement S. Stacy UGRC
    • Provide a name for each person covered by the payment
    • Provide email or mailing address for a receipt
    • Name for each person covered by the payment