Student Name*
Address*
City*
State*
Zip Code*
Phone Number
E-mail Address
Major
Education Majors Only:
Elementary Education Secondary Education
Select your top two sessions:
Names of all parents/guests attending:
Total number of parents/guests attending:
During SWARM: Accommodations needed for disabilities
* indicates a required field
The SWARM program cost is $50.00 per student. This includes a new student folder, lunch, the student identification card, SWARM parking permit, and the enrollment processing fee.
Would you like to have your SWARM fees added to your tuition billing later? No Yes
You may also call us to pay by credit card, or make your check or money order payable to ESU, and mail to:
ESU Admissions, Box 4034 1200 Commercial St. Emporia, KS 66801
If you sign up shortly before a SWARM program, you may bring your payment with you that day.
We look forward to seeing you at SWARM!
Last Updated November 6, 2009