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CAMPUS VISIT REGISTRATION
Required Fields are indicated in red.
Tour Date: 1/31/2018
Tour Time:
8:30 AM
10:30 AM
12:30 PM
2:30 PM
Last Name:
First Name:
Middle Initial:
Number of Guests Attending:
Phone Number:
()
Email Address:
Address:
Address (continued):
City:
State:
Zip Code:
Date of Birth:
Month: Day: Year:
High School/Community College Currently Attending:
            
Year Graduating (High School Only):
                                                
Approximate Date of Intended Enrollment:
Fall Year
Spring
Summer
ACT Score: SAT Score:
GPA: Class Rank (ie. 1/100):
Specific Area of Interest:
Would you like an appointment with faculty in your area of interest?
(Appointments arranged based on faculty availability, appointments not guaranteed)
YES NO
Notes: (maximum 225 characters) characters left