Type date (please make sure it does not conflict with unavailable dates listed above and is not a Sunday)*

Time*

9:00 am 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm

First Name*

Last Name*

Email *

Cell Phone*

Street Address*

City*

State*

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming

Zip Code/Postal Code*

Province Select

Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan N/A

Country*

High School Name*

Date of High School Graduation*

Are you a transfer student?

YES NO

Gender*

Male Female

Number Attending (including yourself) *

1 guest attending 2 guests attending 3 guests attending 4 guests attending Further accommodation required*

Academic / Career Interest

Art & Design/Pre-Art Therapy Athletic Training Biology Business- Accounting Business- Computer Information Systems Business- Entrepreneurial Studies Business- Event & Facilities Management Business- Fashion Merchandising Business- Finance Business- Health Care Management Business- International Studies Business- Management Business- Marketing Business- Sports Management Chemistry & Biochemistry Communication Arts & Sciences Economics English Environmental Science Exercise Science & Physical Education Geology Graphic Design History Interior Design/Pre-Architecture Journalism Leadership and Ethics Mathematics Modern (Foreign) Languages & Cultures Music and Theatre Philosophy & Religion Physics/Pre-Engineering Political Science Pre-Health Sciences Psychology Public Relations Social Work Sociology & Criminal Justice/Pre-Law Teacher Education

Would you like to meet with a professor?

YES NO

Athletic Interest

Acro & Tumbling Baseball Basketball Bass Fishing Bowling Cheer Crew Cross Country Dance Equestrian Figure Skating/Synchronized Skating Football Golf NCAA Men’s Hockey ACHA Men’s Division 1 Hockey ACHA Men’s Division 2 Hockey ACHA Men’s Division 3 Hockey NCAA Women’s Hockey ACHA Women’s Division 1 Hockey ACHA Women’s Division 2 Hockey Lacrosse Soccer Softball Tennis Track Volleyball Wrestling

Would you like to meet with a coach?

YES NO

Any additional comments (optional):