Student Affairs | Divisional Potluck 2012 Registration Form

Potluck 2012


Thursday December 20, 2012 
11:00 am-2:00 pm
LA Room,
University-Student Union

Registration Deadline is Wednesday December 12, 2012

Store bought items are welcomed!

All fields are required.


First Name:
Last Name:
Student Affairs Department:
Please identify food
item you will bring:
Campus Extension:
E-Mail Address:
The division would like to capture some of your
wonderful recipes for a Student Affairs Holiday Recipe Book! So, if
you would like to share your fabulous recipe, please include it below
or email it at a later time to

*Please note that you do not have to submit the same recipe for the
item you are bringing to the potluck.


Note:By clicking submit you are confirming
your attendance to the potluck