- Student's name
- High School (Students do NOT need to be sponsored by a school. Home schooled registrants should indicate this status.)
- Year in school
- High School Mentor (if relevant)
- Home phone
- E-mail (if available)
If there are problems with the form, please e-mail: cannon@scranton.edu
If you have questions, you can also call Dr. Tim Cannon at: 570.941.4266 |