Campus Visit Registration Form
First Name:
Last Name:
E-Mail
Confirm E-Mail
Telephone:
Street
City
State
Zip
Are you currently attending High School or College?
yes
no
Year in School
Please select a Year
Freshman
Sophomore
Junior
Senior
Transfer Student
School's Name
Please schedule the following for me:
Admissions
Campus Tour
Visit Classroom
Finanacial Aid
Residence Life
Academic Faculty (Area)
Athletic Coach (Area)
I will visit Eastern on: (day / date)
Time I will visit:
10:00 am
1:00 pm
Yes, I plan to stay overnight on campus and need lodging for (day and time):
** Overnight stays on campus are not available during the summer.
No, I do not plan to stay overnight
No
Contact Information for Admissions
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