On-Campus Fall Open House October 2022

Personal Information

First Name

Last Name

Birthdate

Contact Information

Email Address

Home Phone

Cell Phone

Current Address

Country

Street

City

Region

Postal Code

Parent or Guardian Information

Type

Parent or Guardian Email Address

Parent or Guardian First Name

Parent or Guardian Last Name

Academic Information

Entry Term

Admit Type

What academic program are you interested in pursuing?

High School Name

High School CEEB Code

Most Recent College or University

College or University CEEB Code

Guests Attending (on-campus only)

Do you require specific accommodations during the event (interpreters, CART services, accessible parking, etc.)?

No

Yes

If yes, please specify your accommodation needs: