Montana Western Board of Regents Registration

Name *

First

Last

Institution *

Job Title *

Address *

Email *

Phone *

Hotel where you will be staying *

If selecting "Other," please provide information in the text box below.

Continental Breakfast - All participants *

Located in the Swysgood Technology Center (STC) lobby

Breakfast for Regents, Faculty Representatives (Including: MSU President, UM President, OCHE staff, and Host Campus Chancellor) *

Located in the Lewis and Clark Room in Mathews Hall

Lunch - All participants *

Located in the Dining Hall

Lunch for Regents - Students ONLY (Including: MSU President, UM President, OCHE staff, and Host Campus Chancellor) *

Located in the Lewis and Clark Room in Mathews Hall

Reception: 5:30 p.m. at the Beaverhead County Museum *

Continental Breakfast - All participants *

Located in the Swysgood Technology Center (STC) lobby

Breakfast for the Board and Community Leaders (Including: MSU President, UM President, OCHE staff, and Host Campus Chancellor) *

Located in the Lewis and Clark Room in Mathews Hall

Please list any food allergies/restrictions