Preview Day

* denotes a required field.

Personal Information

First Name:*

Middle Name:

Last Name:*

Preferred Name:

Birthdate:*

Gender:*

Email Address:*

Confirm Email Address:*

Mobile Phone Number:*

Alternate Phone Number:

Mailing Address:*

Country

Street

City

Region

Postal Code

Academic Information

Enter the high school or college you currently attend (or most recently attended.) If you are homeschooled, please select "homeschool":*

School's CEEB Code:

Date of completion/graduation:*

Student Type:*

Semester you plan to enroll:*

Academic Interest:*

Would you like a tour of the Nursing Building?*

Yes

No

General Information

Number of guests who will be attending the visit with you (not counting yourself):*

T-Shirt Size:*

Your tour will be a walking tour of campus. Will you need any special assistance?*