Registration Form

First Name 

Last Name 

Street Address 

City 

State 

Zip 

Best Contact Phone Number 

Email  

Parent Email 

Name of most recent high school/college

What semester are you applying for? 


What will you be enrolling as? 




Intended Major 

Would you like to register for an early bird campus tour? 


Number of family members joining campus tour including student  

Do you require wheel chair or special assistance?

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