Date of Visit - None -April 4April 6April 11April 13April 18April 25 On which date would you like to stay on campus? First Name Last Name Preferred First Name Gender Male Female Mailing Address Please indicate your street address or mailing address City State/Province Zip Code/Postal Code High School Name High School City High School State/Province High School Zip Code/Postal Code Year of High School Graduation Home Phone Number Enter home phone number including area code Cell Phone Number Enter cell phone number including area code Email Address Enter email address for further correspondence Additional Information Please provide the following additional information so we can prepare for your visit to campus. Visit Choices * Campus Tour Attend a Class Both Tour and a Class Please select your choice of options from the above. Academic Interests List up to three areas of academic interest if you are interested in attending a class. We will try to arrange for a class visit in your area of interest. Extracurricular Interests List three areas of extracurricular interests such as athletics, clubs, etc. Campus Departure Time What time do you need to leave campus the day after your overnight stay? This will help us in preparing your schedule. Emergency Contact Information Please list the name, relationship and phone number of an emergency contact person for your visit. Comments or Questions? Let us know if you have any questions so far in this registration process.