CSA Days - Eastern Illinois University Registration Form

Please fill out the below form to ensure registration for CSA Interview Day.

1Applicant Information > 2Graduate Assistantship Interviews
Personal Information
Name Name * First Last
Undergraduate Institution *
Graduation Month & Year *
Contact Information
Email *
Primary Phone Number *
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
RSVP Details
Do you want to stay on campus during CSA Days? *

Do you want to stay on campus during CSA Days? Yes No

$25 per night in Lawson Hall
I am unable to attend in-person and would be interested in attending virtually. *

I am unable to attend in-person and would be interested in attending virtually. Yes No
Do you have any dietary restrictions/preferences? (Only answer if attending in-person)