The Lehman College Computer Science and Mathematics Scholarship Program

Workshop Attendance

 

My current information is:
 
Name:  
Student ID (Social Security #):

Undergraduate or Graduate:

Street Address:  
City and Zipcode:  
Preferred email:

Is this a change in address?  

List the workshops you have attended so far.  Please include title and sponsoring organization (if not a CSM-run workshop):
 
Workshop: Date:





  


  


  


  

By signing below, I attest that the statements above are accurate.
 
Signature:                                                                 
Date: