Register me for a group visit!


*Schedule me for (choose from the list to the right):

For an individual visit and personalized tour, click here.

* First Name:

 

* Last Name:

 

* Street Address:

 

Street Address 2:

* City:

 

* State:

 

* Zip:

 

* Phone

 

* Email Address:

 

* My High School Grad Year:

I plan to enter as a:

My Present School:

School City, State:

Others coming with me:
Mom, Dad, Siblings, Aunt Suzy?

 
I intend to major in:
My other interests:
Nursing,
clubs, cheerleading sports, activities?
I'd like to stay overnight in
the residence halls:
Remember to bring your pillow, sleeping bag and personal items too!!!

If yes, please list date/time
of arrival:

Yes    No

Date:
(ex: 11/1/2008)
Time:
(ex: 6:00 pm) EST

Additional Comments:

 

  
  Contact Us   |   2303 College Avenue  Huntington, IN 46750   |   800.642.6493   |   Copyright 2004