Senator Mary Jo White

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Environmental Resources & Energy

Special Session on Energy


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Senator Mary Jo White's Student Government Seminar
Friday, October 17, 2008
Clarion University - Venango Campus

Student Information Registration Form
 

Advisor(s):

Advisor Contact Number:

Advisor EMail Address:

School Name:

School District:
(For Home School Students)

   

Student 1:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 2:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice

Student 3:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 4:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 5:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 6:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 7:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 8:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 9:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 10:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 11:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 12:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 13:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 14:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  

Student 15:

 

Student Name:

   
Workshop Choices:  Please mark 1st, 2nd, 3rd and 4th choices per student
   
VOTE-It's Your Choice  
Environment  
Health and Welfare  
Law and Justice  
   
   
 

 


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Offices

Senate Box 203021
169 Main Capitol Building
Harrisburg, PA 17120-3021
(717) 787-9684
FAX: (717) 787-6088

Butler
340 South Main Street
Suite B
Butler, PA 16001
(724) 282-1234
FAX: (724) 282-6852

Clarion
613 Main Street
P.O. Box 794
Clarion, PA 16214-1730
(814) 226-5343
FAX: (814) 226-1615

Franklin
1140 Liberty Street
P.O. Box 774
Franklin, PA 16323-1140
(814) 432-4345
FAX: (814) 437-4820

Warren
22045 Route 6
Warren, PA 16365
(814) 728-2100
FAX: (814) 728-2102
 

 

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