| Name: |
First
MI Last
|
| |
Date of Birth:
Gender: Male Female
|
| Address: |
Street:
Apt: |
| |
City:
State:
Zip: |
| |
Country: (non-US residents) |
| |
Telephone:
Home
Cell
|
| |
E-mail:
|
Intended
semester/
year of entry: |
Fall (August)
Spring (January)
Summer (May/June)
Undecided
Year:
|
Are you
interested
in enrolling
as a freshman? |
Yes
No
|
Intended
Academic
Program
(Select up to 3): |
|
Most Recent
High School
Attended: |
|
Date/Year of
High School
Graduation: |
GPA:
|
All other
universities/
colleges
attended: |
1:
2:
3:
|
I will attend
the following
tour session: |
Month:
Date:
Year:
|
I would like
to arrange a
special tour
session
(optional): |
Special Tour Session: For those unavailable to attend
one of our regularly scheduled tour sessions,
special tour requests are available.
Note: We will try to accomodate your first choice but final
selection will depend upon Ambassador availability.
An Ambassador will follow up with you regarding your tour.
We do not provide tours on weekends
although there are Preview Day opportunities for this.
Please indicate 3 days and times
that will work for you to come to campus:
Month:
Date:
Year:
Time:
Month:
Date:
Year:
Time:
Month:
Date:
Year:
Time:
|
I will attend a
Financial Aid
Workshop on
the following
date (optional): |
|
I would like to
schedule an
undergraduate
admissions
appointment
(optional): |
Before my tour
After my tour
Either before or after my tour
N/A
It may be possible to arrange an Admissions appointment
before or after your tour.
Note: it is recommended that you bring a copy of official or
unofficial transcripts to your Admissions appointment.
|
Special
accommodations
(optional): |
Please specify:
|
Ethnic Origin
(optional): |
African American/Black
American Indian or Alaskan Native
Asian American/Pacific Islander
Caucasian
Chicana/o; Latina/o; Hispanic
Middle Eastern
Multi-ethnic/Multiracial
Other
|
How did you
hear about us?
(optional): |
|
Have you filled
in all fields? |
|
