Life and Career Design

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I am a(n):

Admitted Student or Applicant Information

First/Given/Legal Name

Would you like to share a different first name?
NOTE: We will use Chosen/Preferred names in all of our communications, including event name tags, postal mailings and emails. If you do not wish for us to use your Chosen/Preferred name, please choose NO and we will only use your legal/first/given name.

Yes

No

Chosen or Preferred Name

Last/Family/Surname

Email Address

May we send you an event reminder and other important info by text?

Yes

No

Mobile Phone Number

Prospective Student Information

First/Given/Legal Name

Would you like to share a different first name?
NOTE: We will use Chosen/Preferred names in all of our communications, including event name tags, postal mailings and emails. If you do not wish for us to use your Chosen/Preferred name, please choose NO and we will only use your legal/first/given name.

Yes

No

Chosen or Preferred Name

Last/Family/Surname

Email Address

Confirm Email Address

May we send you an event reminder and other important info by text?

Yes

No

Mobile Phone Number

Academic Information

You are applying as a:

First Year

Transfer

Current or Most Recent School

When will you begin your studies?

What academic field are you most interested in?

Do you have a specific question or topic you are hoping we will address during this session?

Guest Information

Will a parent or guardian join you for the event? Guest 1 will be copied on emails related to this event. All other guest contact information is optional.

Yes

No

Relationship Type

Please enter their information:

First/Given/Legal Name

Last/Family/Surname

Email Address

First/Given/Legal Name

Last/Family/Surname

Email Address

First/Given/Legal Name

Last/Family/Surname

Email Address