Open House for Middle and High School Students and Parents, January 20, 2018 Registration Form
Kindly complete the Registration Form below for the Center for Pre-College Programs at New Jersey Institute of Technology Open House for Middle and High School Students and Parents held on Saturday, January 12, 2019 from 9:00 a.m. - 12:00 noon at Campus Center Atrium 150 Bleeker Street, Newark, New Jersey 07102-1982. Free Parking!
Email address *
Center for Pre-College Programs
Inspiring Young Minds for College Access and Success in Science, Technology, Engineering and Mathematics (STEM)
Attendee: Parent(s)/Guardian(s) Name *
Your answer
Attendee: Child/Children's Name, School Name, Grade Level *
Your answer
Home Street Address *
Your answer
Home City, State Zip Code *
Your answer
Home Phone Number, including Area Code *
Your answer
Additional Email Address
Your answer
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