Special Program Form

College Preview Registration

Required Information

Student's Name
Address:
City: State: Zip:
Home Phone:
Email:

High School: Graduation Year:

I would like to attend College Preview on:
Tuesday, October 20, 6:00 to 7:30 PM
Thursday, December 3, 6-7:30 PM
Tuesday, February 23, 6-7:30 PM
Thursday, April 22, 6-7:30 PM

Number Attending:
Student(s): Parent(s)/Guest(s):

Do you have any specific questions, comments or concerns please let us know in the space provided below. You will receive a response via Email.