Academic Highlight Day | Health, Natural & Social Sciences

Fields marked with an * are required

Origin Code - HIDDEN

STUDENT INFORMATION

Student Email Address* Please use a personal (non school) email address to ensure you receive your visit information.

First Name*

Last Name*

Preferred First Name

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Student Cell Phone*

Parent/Guardian Phone Number

ACADEMIC INFORMATION

Enrolling As*

When do you plan to start at Clarke?*

Current School (or most recent)*

Anticipated High School Graduation Year*

What major are you interested in studying?*

EXTRACURRICULAR INFORMATION

Are you interested in playing a sport in college?

Yes

Men's or Women's Sport?

Are you interested in participating in choir, band, or strings in college?

Yes

Choose all that apply:

Choir

Band

Strings

What instrument(s) do you play?

VISIT INFORMATION

Do you plan to stay for lunch on campus?*

Anticipated number of guests (including student)*

Please enter the number of guests (including the student) planning to attend.

OPTIONAL TOURS

Would you like to take a tour of campus?*

Yes

Please select your tour option.*

Full Campus Tour (1 hour in length)

Residence Halls Tour ONLY (30 minutes in length)

WRAP UP INFORMATION

Please list any accommodations that you may need (i.e. Spanish interpreter, wheelchair, food allergies, etc.) We will try our best to make proper accommodations for your visit to campus. Please note that we need a 3 week notice for ASL (American Sign Language) interpreters.

How did you hear about this event?