ODASIS Prep Week 2019 August 26th - 30th (Mon-Fri)
Welcome to the ODASIS Prep Week registration! Please complete the following form accurately and provide the correct course that you are registered for so we can place you in the appropriate sessions with no conflicts. Your responses will dictate our outreach and placement efforts.

Schedule:
10-1 PM Science
2-3 Science Study Session
3-5 PM Math
Location: Beck Hall, Livingston Campus

Parking Information: If you bought a parking pass, email or call Transportation Services at https://ipo.rutgers.edu/dots/contact-us to request your pass be activated earlier.
If your car is not registered at Rutgers, see https://ipo.rutgers.edu/dots/visitor-parking.
Worst case, park at a meter in New Brunswick and take a bus to Beck Hall.
Last Name *
Your answer
First Name *
Your answer
RUID# *
Your answer
Rutgers email address *
Your answer
Email address (non Rutgers) *
Your answer
Cell Phone # *
Your answer
Net ID *
Your answer
Fall 2019 Science Course (select all that apply) *
Required
Fall 2019 Math Course (We don't support accelerated PreCalc115, please switch to PC111) *
If you selected "other" in the previous question(s), what other science and/or math course will you be enrolled in?
Your answer
Racial/Ethnic Self Description (check only one that applies) *
Country of Origin *
Your answer
CURRENT College within Rutgers *
Are you a part of the Honors College/program?
If you selected "other" in the previous question, what college are you currently enrolled in?
Your answer
Are you a part of the Educational Opportunity Fund (EOF)? *
Are you a Transfer Student? *
Are you a first generation college student? *
Did you participate in the Strategic Plan 5 week summer program with ODASIS? *
What is your current/intended major? *
Your answer
What is your career interest? *
Required
Year of Graduation (Estimated) *
Emergency Contact Full Name
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact Email Address
Your answer
Home Address (Street) *
Your answer
Home Address (City) *
Your answer
Home Address (State) *
Your answer
Home Address (Zip Code) *
Your answer
Where are you living this fall? *
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