Which Event Will You Attend? Choose Event Friday, March 28th, 2008 Friday, April 4th, 2008 Friday, April 11th, 2008 First Name: (required) Last Name: (required) Birthdate Month: Choose Month January February March April May June July August September October November December Day: Choose Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: Choose Year 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 Email Address: (required) Street Address: Street Address Line 2: City : State: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Phone Number Area Code: Phone Number (7 digits only): Ethnic Identity (optional): Select One Asian American Pacific Islander Hispanic American Black, African American, Non-Hispanic White, European American, Non-Hispanic American Indian or Alaska Native Middle Eastern North African Decline to respond If none of the above, write in the ethnic/racial identification you use: I plan to enroll in college/university: Select Fall Winter Spring Summer Select 2008 2009 2010 2011 I will be a: Freshman Transfer High School, Community College or University I'm currently attending: I plan to major in Not Sure AGRICULTURAL SCIENCES Agriculture Business Management Animal Sciences Animal Sciences (pre-veterinary medicine) Bioresource Research Crop and Soil Science Environmental Economics, Policy and Management Fisheries and Wildlife Food Science and Technology General Agriculture Horticulture Natural Resources Rangeland Resources BUSINESS Accounting Business Administration Economics Entrepreneurship Finance International Business Management Management Information Systems Marketing EDUCATION Adult Education Counselor Education Early Childhood/Elementary Ed Secondary Education ENGINEERING Civil Engineering Chemical Engineering Bioengineering Computer Engineering Computer Science Construction Engineering Management Electrical and Electronics Engineering Engineering Physics Environmental Engineering Industrial Engineering Manufacturing Engineering Mechanical Engineering Nuclear Engineering Radiation Health Physics FORESTRY Recreation Resource Management Forest Engineering Forest Management Outdoor Recreation Leadership & Tourism Wood Science and Engineering Natural Resources Forest Engineering/Civil Engineering GRADUATE SCHOOL HHS Apparel Design Dietetics Early Childhood Education Exercise and Sport Science Gerontology Health Care Administration Health Management and Policy Health Promotion and Education Housing Studies Human Development and Family Sciences (HDFS) Interior Design Merchandising Management Nutrition and Food Management HONORS COLLEGE INTERDISCIPLINARY STUDIES COLLEGE American Studies Environmental Sciences International Studies Natural Resources LIBERAL ARTS COLLEGE American Studies Anthropology Applied Visual Arts Art English Ethnic Studies French German History Liberal Studies Music - Choral Music - Instrumental New Media Communication option, Liberal Studies Natural Resources Philosophy Political Science Pre-education option, Liberal Studies Psychology Sociology Spanish Speech Communication Theatre Arts Applied Ethics Certificate Language in Culture Certificate Latin American Affairs Certificate Peace Studies Certificate Russian Studies Certificate Women Studies Certificate OCEANIC AND ATMOSPHERIC SCIENCES COLLEGE Atmospheric Sciences Geophysics Marine Resource Mangement Oceanography PHARMACY COLLEGE Pre-Pharmacy ROTC Aerospace Studies (AFROTC) Military Science (AROTC) Naval Science (NROTC) SCIENCE COLLEGE Biochemistry and Biophysics Biology Biology (Marine option) Botany and Plant Pathology Chemistry Chemistry (Forensics option) Computational Physics Earth Science Environmental Sciences General Science (see Health Professions) Geography Geology Mathematical Sciences Mathematics Mathematics (Teaching option) Medical Technology Microbiology Natural Resources Physics Zoology Zoology (Pre-veterinary medicine) Health Professions Pre-dental Pre-medical Pre-nursing Pre-optometry Pre-physical therapy Pre-physician assistant VETERINARY MEDICINE UNIVERSITY EXPLORATORY STUDIES (undeclared students) Will you be bringing the following guests with you? Parents Friends Including yourself, how many total will be attending? 1 2 3 4 5 6 7 8 9 10 Do you require any disability assistance? None sign language interpreter reader accessible buildings Please describe any special accommodations needed for accessibility or interpretation. You may also use this space to request additional information. Your Message.
Which Event Will You Attend? Choose Event Friday, March 28th, 2008 Friday, April 4th, 2008 Friday, April 11th, 2008
First Name: (required)
Last Name: (required)
Birthdate Month: Choose Month January February March April May June July August September October November December Day: Choose Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: Choose Year 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940
Email Address: (required)
Street Address:
Street Address Line 2:
City :
State: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Phone Number Area Code: Phone Number (7 digits only):
Ethnic Identity (optional): Select One Asian American Pacific Islander Hispanic American Black, African American, Non-Hispanic White, European American, Non-Hispanic American Indian or Alaska Native Middle Eastern North African Decline to respond
If none of the above, write in the ethnic/racial identification you use:
I plan to enroll in college/university: Select Fall Winter Spring Summer Select 2008 2009 2010 2011
I will be a: Freshman Transfer
High School, Community College or University I'm currently attending:
I plan to major in Not Sure AGRICULTURAL SCIENCES Agriculture Business Management Animal Sciences Animal Sciences (pre-veterinary medicine) Bioresource Research Crop and Soil Science Environmental Economics, Policy and Management Fisheries and Wildlife Food Science and Technology General Agriculture Horticulture Natural Resources Rangeland Resources BUSINESS Accounting Business Administration Economics Entrepreneurship Finance International Business Management Management Information Systems Marketing EDUCATION Adult Education Counselor Education Early Childhood/Elementary Ed Secondary Education ENGINEERING Civil Engineering Chemical Engineering Bioengineering Computer Engineering Computer Science Construction Engineering Management Electrical and Electronics Engineering Engineering Physics Environmental Engineering Industrial Engineering Manufacturing Engineering Mechanical Engineering Nuclear Engineering Radiation Health Physics FORESTRY Recreation Resource Management Forest Engineering Forest Management Outdoor Recreation Leadership & Tourism Wood Science and Engineering Natural Resources Forest Engineering/Civil Engineering GRADUATE SCHOOL HHS Apparel Design Dietetics Early Childhood Education Exercise and Sport Science Gerontology Health Care Administration Health Management and Policy Health Promotion and Education Housing Studies Human Development and Family Sciences (HDFS) Interior Design Merchandising Management Nutrition and Food Management HONORS COLLEGE INTERDISCIPLINARY STUDIES COLLEGE American Studies Environmental Sciences International Studies Natural Resources LIBERAL ARTS COLLEGE American Studies Anthropology Applied Visual Arts Art English Ethnic Studies French German History Liberal Studies Music - Choral Music - Instrumental New Media Communication option, Liberal Studies Natural Resources Philosophy Political Science Pre-education option, Liberal Studies Psychology Sociology Spanish Speech Communication Theatre Arts Applied Ethics Certificate Language in Culture Certificate Latin American Affairs Certificate Peace Studies Certificate Russian Studies Certificate Women Studies Certificate OCEANIC AND ATMOSPHERIC SCIENCES COLLEGE Atmospheric Sciences Geophysics Marine Resource Mangement Oceanography PHARMACY COLLEGE Pre-Pharmacy ROTC Aerospace Studies (AFROTC) Military Science (AROTC) Naval Science (NROTC) SCIENCE COLLEGE Biochemistry and Biophysics Biology Biology (Marine option) Botany and Plant Pathology Chemistry Chemistry (Forensics option) Computational Physics Earth Science Environmental Sciences General Science (see Health Professions) Geography Geology Mathematical Sciences Mathematics Mathematics (Teaching option) Medical Technology Microbiology Natural Resources Physics Zoology Zoology (Pre-veterinary medicine) Health Professions Pre-dental Pre-medical Pre-nursing Pre-optometry Pre-physical therapy Pre-physician assistant VETERINARY MEDICINE UNIVERSITY EXPLORATORY STUDIES (undeclared students)
Will you be bringing the following guests with you? Parents Friends
Including yourself, how many total will be attending? 1 2 3 4 5 6 7 8 9 10
Do you require any disability assistance? None sign language interpreter reader accessible buildings
Please describe any special accommodations needed for accessibility or interpretation. You may also use this space to request additional information. Your Message.
