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Student First Name

Student Last Name

Student Cell Phone

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Yes

No

Student Email

Student Birthdate

High School

Which fall semester will be your first semester as a full-time college student? (If unsure, select the fall after your high school graduation date).

Fall 2026

Fall 2027

Fall 2028

Fall 2029

College Major of Interest

Parent/Guardian First Name

Parent/Guardian Last Name

Parent Email Address

Parent Phone

Mailing Address

Country

Street

City

Region

Postal Code

Do you have any questions or topics that you would like to hear addressed at the event?