IGHR at Samford University Library
Click here to return to the IGHR website main page.



Wait List Request for Course 3: Research in the South: Cessions & Territories

You may be on wait lists for up to 2 courses plus housing (when applicable).
If submitting to multiple course wait lists please click here to notify us which one is your preference.

Items with an asterisk (*) are required.


Contact Information
* Name
Address
City/State/Zip
* E-mail
* Phone
Alternative Phone
Emergency Contact & Phone
* Did you attend Course 3: Research in the South, Part I in 2012?

I am also interested in the following:
(Check all that apply)

 On-Campus Housing: Shared Room
On-Campus Housing: Private Room
On-Campus Housing: Linens Packet
Meal Ticket

Please note that checking a box for on-campus housing DOES NOT put you on a housing wait list.
You must fill out a Housing Wait List Request Form to be added to any housing wait lists that may be in place.



Before sending you may Print This Page for your records