Ten Colleges Public Information Session and Fair

About You

How many guests will you bring with you?

Student First Name

Student Middle Name

Student Last Name

Student Chosen Name (if provided, your preferred name will be used for communications with you and with others you invite to this event)

Student Birthdate

My pronouns are:

She/Her/Hers

He/Him/His

They/Them/Theirs

My pronouns are not listed

My pronouns are:

Your Contact Information

Student Email Address

Would you like to receive text message updates?

Yes

No

Mobile Phone Number

Home Address

Country

Street

City

Region

Postal Code

Do you receive mail at this address?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Your Educational Plans

Are you interested in applying as a first-year or transfer student?

First-Year

Transfer

In what year do you plan to enter college?

Current School

School CEEB

Current School

School CEEB

I am home schooled.

Your Background (Optional)

Are you a first-generation-to-college student?

Yes - neither of my parents holds a four-year degree

No

We respect the many identities that make up our communities. Please choose the gender identity that applies to you:

Woman

Man

Another identity

I prefer not to respond

I identify as:

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please indicate how you identify yourself. (You may select more than one)

Are you an active duty servicemember or a veteran of the U.S. Armed Forces?

Yes

No

Are you a U.S. Citizen?

Yes

No

Are you a U.S. Permanent Resident?

Yes

No

Primary Citizenship