Pre-pharmacy Academic Preview Day

Wednesday, February 19, 2020 at 9:00 AM until 2:00 PMEastern Standard Time

Western New England University
1215 Wilbraham Rd
Springfield, MA 01119
United States

Required fields are marked with an asterisk (*)

First Name*

Last Name*

Email Address*

Birthdate*

Cell Phone Number

Mailing Address*

Country
Street
City
Region
Postal Code

Intended Major*

Total Number of guests attending (including Student)*

Would you like to go on a Campus Tour?*

Yes

Additional information we should know (food allergies)

Please indicate if you need any accommodations