Campus Visit Reservation Form
Mr. Ms.    
First Name*   Middle Initial     Last Name*  
Address* 
City*  State*    Zip Code*  
Day Phone*  Evening Phone 
E-mail (recommended) Birthdate* (MM/DD/YY)
* Required
High School Attended  (GED/HSED) Graduation Date (GED/HSED)
Major
I will attend a Campus Preview on: (select one)
Date Time
Tuesday, December 9th, 2008 6:00 - 8:30 p.m.
Thursday, February 26th, 2009 6:00 - 8:30 p.m.
Monday, March 16th, 2009 6:00 - 8:30 p.m.
Thursday, April 23rd, 2009 6:00 - 8:30 p.m.
Monday, May 4th, 2009 6:00 - 8:30 p.m.
Total number of people attending:
Date Time
Monday, February 9th, 2009 6:30 - 8:00 p.m.
Monday, March 19th, 2009 6:30 - 8:00 p.m.
Total number of people attending:
Other Questions:

You will receive confirmation of your reservation via email or first class mail if you do not have an email address.
Thank you for submitting your request. We look forward to meeting you at the Campus Preview.