Would you like to attend an open house or schedule a visit? Would you like to attend an open house or schedule a visit?: Open House Schedule A Visit
Reference (name of counselor, alumni, website, newsletter, etc): Reference (name of counselor, alumni, website, newsletter, etc):
Are you currently completing prerequisites at a college / university? Are you currently completing prerequisites at a college / university?: Yes No
Are you completing your prerequisites online via our partnership with Terra State Community College? Are you completing your prerequisites online via our partnership with Terra State Community College?: Yes No Not yet but I will be in the future
Name of your current college / university: Name of your current college / university:
Number of guests accompanying you, if applicable: Number of guests accompanying you, if applicable:
Check all that apply. We will try to accommodate as best we can.
Which day(s) of the week are best for you? Which day(s) of the week are best for you?: Saturday No preference
Would you prefer morning or afternoon? Would you prefer morning or afternoon?: Morning No preference
Or Select a Date
Select a Date: Select a Date
First Name: First Name:
Last Name: Last Name:
Phone: Phone
Email: Email
Confirm Email: Confirm Email