Rutgers Future Scholars Convocation Registration Form - Class of 2017  

Greetings and welcome to the RSVP registration form for the Rutgers Future Scholars Convocation Celebration on May 6th, 2017.
Please complete the following form below.

* First Name

* Last Name

Middle Initial (if applicable)

* Email Address

* Home Address

* Primary Phone Number

Secondary Phone Number

* RFS Program

* Number of guests you plan to bring to convocation (maximum 2)

Name of Guest #1

Name of Guest #2

* Are you currently employed? (Scholars ONLY)


If yes, please indicate name of employer.

* If you are graduating in 2017, have you been offered a place of employment upon graduation? (Scholars ONLY)


If yes, please indicate name of employer (Scholars ONLY)

If you are searching for employment, please indicate field(s) of interest (Scholars ONLY)

What are your future plans? (Scholars ONLY)

Please briefly share your feelings about being a Rutgers Future Scholar, past, present and future. (1000 characters maximum)

Please complete this section if you are an RFS Partner, District Administrator or Faculty/Staff ONLY

Please indicate your role as partner or within a school below