DU FALL EVENT REGISTRATION FORM
Event Location: Dillard University, PSB
Event Date(s): Friday, November 10th & Saturday, November 11th
Event Time: 8:00am Check-In on Friday, November 10th and 9:30am Check-In on Saturday, November 11th
Event Participants: Friday, November 10th is open to high school seniors.
Saturday, November 11th is open to all prospective students.
First Name (Example: Marcus)
Last Name (Example: Jackson-Smith)
DU ID# (If applicable)
Mailing Address (Example: 25 Cole St. Apt 8)
City (Example: Little Rock)
State (Example: AR)
Zip Code (Example: 71234)
Primary/Cell Number (Example: 504-816-4670)
Would you like to receive text messages from us?
Current School Name (Example: KIPP Sunnyside)
Current Grade Level
Transfer (College Student)
Parent of Prospective Student
Academic Area of Interest
Mathematics & Actuarial Science
Urban Studies & Public Policy
Which event will you attend?
Friday, November 10th-Shadow Day
Saturday, November 11th-Open House/Homecoming Activities
I will not be able to attend, but would like to stay informed on upcoming events
I understand that I will have to pay $$ for event tickets
Friday, November 10th-Basketball Game
Saturday, November 11th-NPHC Greek Step Show
I will not be attending either event
Thank you for registering to attend one of our upcoming events. We look forward to seeing you soon!
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