Junior Day Registration Form

Let us know if you plan to attend our Junior Day. Please register below!

First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip: *
Phone Number: *
High School:
Intended Major:
Number of Visitors (including myself):

Help us personalize your campus visit for you. Tell us what you are interested in doing while you are on campus.

Enter the numerical value of ten minus three. *

* Required Field