PREVIEW WEEKEND REGISTRATION
Friday, November 9, 2018-Fall Shadow Day
Check-In @ Professional Schools Building (PSB) at 8:00am
Event open to high school seniors ONLY
*Bring your ACT/SAT scores and transcript for on-site acceptance

Saturday, November 10, 2018-DU Preview
Check-In @ DUICEF Lobby at 10:00am
Event open to ALL prospective high school students

First Name (Example: Marcus) *
Your answer
Last Name (Example: Jackson-Smith) *
Your answer
DU ID# (If applicable)
Your answer
Mailing Address (Example: 25 Cole St. Apt 8) *
Your answer
City (Example: Little Rock) *
Your answer
State (Example: AR) *
Your answer
Zip Code (Example: 71234) *
Your answer
Email (Example: myemail@email.com) *
Your answer
Primary/Cell Number (Example: 504-816-4670) *
Your answer
Would you like to receive text messages from us? *
Current School Name (Example: KIPP Sunnyside) *
Your answer
Current Grade Level *
Academic Area of Interest *
Which event will you attend? *
Required
I understand that I will have to pay $$ for event tickets *
Captionless Image
Required
Thank you for registering to attend one of our upcoming events. We look forward to seeing you soon!
Submit
Never submit passwords through Google Forms.
This form was created inside of Dillard University. Report Abuse - Terms of Service - Additional Terms