Designing better wheelchairs

Researchers analyze a patent-pending mechanism for fastening seatbelts. »

School of Health and Rehabilitation Sciences

 

Open House Registration Form

an * indicates a required field

Contact Information:

 

First Name*   
Last Name*   
Address Line 1   
Address Line 2   
City   
State   
Zip/Postal Code   
Phone Number   
Email Address*   


Academic Information:


My current education status is:  

High School or College currently attending or attended:*  
Year of Graduation:  

Highest Level of Education:  


Degrees and Programs of Interest:


Degree/Program of Interest:* 
 

Degree/Program of Interest 2 (optional): 
 

Degree/Program of Interest 3 (optional): 
 


Other Information:


How did you hear about Open House?*  
If 'Other", please indicate that source:  

How many people will be attending Open House including yourself?*  

 

You are using an older browser that does not support current Web standards. Although this site is viewable in all browsers, it will look much better in a browser that supports Web standards.