ODUMUNC Delegate List
ODUMUNC Delegate List
Fill out this form to ensure your school's name badges are ready at registration.
Faculty Information
Faculty Sponsor School
*
Faculty Name
Faculty Name
*
First
Last
Faculty Sponsor Email
*
Faculty Sponsor Emergency Telephone
Faculty Sponsor Emergency Telephone
*
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Additional Faculty Name (if applicable)
Additional Faculty Name (if applicable)
First
Last
Additional Faculty Sponsor Email
Additional Faculty Sponsors Emergency Telephone
Additional Faculty Sponsors Emergency Telephone
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Delegate Information
Delegate School
*
Delegate Name
Delegate Name
*
First
Last
Delegate Committee Assignment
*
Delegate Country/Crisis Character
*
Delegate Name
Delegate Name
First
Last
Delegate Committee Assignment
Delegate Country/Crisis Character
Delegate Name
Delegate Name
First
Last
Delegate Committee Assignment
Delegate Country/Crisis Character
Delegate Name
Delegate Name
First
Last
Delegate Committee Assignment
Delegate Country/Crisis Character
I certify our school has medical certificates on file for all delegates named above.
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.