Personal Information:

First Name Last Name

Address

City State Zip

Phone

Cell Phone (optional)

Email Address

High School Information:

High School Name Year of Graduation

Intended College Major:
(To select more than one from list, hold down CTRL key)

Accounting Architectural Technology Biological Sciences Building Construction Management Business Business/Professional Communication Civil Engineering Technology Chemistry Communication Computer Information Systems Technology Computer Technology Early Childhood Education Electrical Engineering Technology Elementary Education Engineering English Health Sciences Human Resource Management Industrial Engineering Technology Liberal Studies Marketing Management MBA Mathematical Sciences Mechanical Engineering Mechanical Engineering Technology Nursing Organizational Leadership & Supervision Physics Preprofessional Studies Psychology Social Work Sociology Undecided Other

I would like to register for the following campus visit date:
(only 4 spots are reserved for each date - register early!)

Monday, May 19, 1 p.m. Friday, June 6, 1 p.m. Friday, June 13, 1 p.m. Friday, June 20, 1 p.m. Friday, June 27, 1 p.m. Friday, July 11, 1 p.m. Friday, July 18, 1 p.m. Friday, July 25, 1 p.m.

Total number of people attending:

I would like to meet with an academic advisor

I would like a tour of University Village Apartments