Open House

Personal Information

Student First Name

Student Last Name

Suffix

Preferred First Name (only if different from Legal Name)

Birthdate

Address

Permanent Address

Country

Street

City

Region

Postal Code

Contact Information

Student Email Address

Please do not use your high school email address.

Phone Number

Phone type

We may text you about:

• missing application items

• scholarship opportunities

• important reminders and deadlines

I would like to receive important updates via text. (Standard text messaging rates apply)*

We may text you about:

• missing application items

• scholarship opportunities

• important reminders and deadlines

I would like to receive important updates via text. (Standard text messaging rates apply)*

Yes

Event Information

Do you want a copy of the confirmation sent to another email address?

Yes

Confirmation Email Address

Number attending (not including student)

Enrollment Information

I am a

Major you're interested in

When would you likely first attend classes?

Academic Information

High School

Graduation Month/Year

Optional Ethnic Information

Would you like to share your race / ethnicity?

Any information you provide will not be used in a discriminatory manner.

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member: