Name(Required) First Last UAMS Email Address(Required) Phone (if you would like to receive text reminders for the event)If your family is attending, please list their names.Are you a staff member or a student?(Required) Staff Student Role(Required) Faculty Resident Coordinator, Administrative Support, Etc. Campus(Required) Batesville Berryville/Eureka Springs Crossett El Dorado Fayetteville Fort Smith Jonesboro Little Rock North Little Rock Pine Bluff Texarkana Student Year(Required) M1 M2 M3 M4 School(Required) ARCOM NYIT UAMS
