Undergraduate Open House

Required fields are marked with an asterisk (*)

Student First Name*

Student Preferred Name

Student Last Name*

Your Preferred Pronouns (if you wish to have them on your name tag):

Student Email Address*

Student Cell Phone Number*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Country of Citizenship*

Current High School/College Previously Attended*

CEEB Code

Student Type*

Freshman

Transfer

Time Status*

Full-time

Part-time

Entry Term*

Intended Major*

Total Number of Guests Attending (including Student)*

Does anyone attending require an accessibility accommodation?

Yes

No

What accessibility accommodations are required?

Would you like parents/guardians to receive confirmation emails?

Yes

No

Relationship to You:

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Email Address:

Additional Information We Should Know