Open House Registration

Campus Visit Days

Please indicate who will be representing your department at Campus Visit Days on MONTH DAY and MONTH DAY, YEAR.

"*" indicates required fields

Primary Representative's Name DAY1*
Please write name as it should appear on the name-tag.
Primary Representative's Name DAY2*
Please write name as it should appear on the name-tag.
Will a name-tag be needed?*
Will additional faculty/staff representatives be attending DAY1?*
Please write names as they should appear on the name-tag. Please make a note if an individual does not need a name-tag.
Will additional faculty/staff representatives be attending DAY2?*
Please write names as they should appear on the name-tag. Please make a note if an individual does not need a name-tag.
Will you have student representatives DAY1?*
Please write names as they should appear on the name-tag.
Will you have student representatives DAY2?*
Please write names as they should appear on the name-tag.
This field is for validation purposes and should be left unchanged.