Green Zone Registration

Please don't fill out this input box.

First Name*

Last Name*

365bet Email*

Title*ex: Coordinator, Administrative Assistant, etc.

Department Name*

Department P.O. Box #*

Have you served in the military?*

Yes

No

Select One*

Staff

Faculty

Student Employee

Visitor

Training Info*

October 23, 2024 5:30p.m-7:00p.m., Newton Center Lounge

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