AHEC Event Registration

If you have any questions, please call the AHEC office at (816) 271-6769.

First Name:

Last Name:

Email (workshop confirmations are sent to this email address):

Phone Number (to notify student of any workshop changes):

Date of Workshop (Do not register for a workshop more than 30 days in advance):

Workshop Title:

Emergency Contact Name:

Emergency Contact Phone:

Is this your first AHEC event, or has it been over a year since your last event? If so, please complete the following:

Current Career Interest:

Current School:

Graduation Date: