4th Annual

Women in Criminal Justice
Leadership Seminar

Registration Form

Personal Information

Name	* †
E-Mail	*
Street Address	*
City	*
State	*
Zip Code	*
Employer	*
Title	*
Home Phone	*
Work Phone	*
Fax

* Required Field
† As you would like your name to appear on your certificate

Other Information

Put my name on a list to receive notice of future seminars.
Please send me information on Bachelor of Science Degree in Criminal Justice.
Please send me information on Master of Science in Administration of Justice.
Sorry, I cannot attend, but please inform me of future seminars

Registration Fee

A $35.00 registration fee is required. The registration fee includes the seminar, continental breakfast, a buffet lunch, seminar cap and a training certificate.

Make checks payable to "Wilmington University Criminal Justice Program"
and them send to:

Wilmington University
Division of Behavioral Science
320 N. DuPont Highway
New Castle, DE 19720