Person Scheduling Visit

Person Scheduling the Visit

Student

Parent/Guardian

Other

Other

Scheduler's First Name

Scheduler's Last Name

Scheduler's Email

Student Information

First Name

Preferred Name
If the same as the student's first name, please reenter student's first name

Last Name

Email Address

Phone Number
By providing your cell phone number you opt-in to receive texts from Mount Mary University. You can opt out at any time.

Type of Phone

Mobile Phone

Primary Phone

Work Phone

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

High School Information

High School Name

Graduation Year

College Information

Most Recently Attended College or University

Graduation Year(if applicable)

Academic Information

Type of Student

Anticipated Entry Term

Academic Program of Interest

Visit Information

Please list any accessibility requirements for the student or guest(s)
I.e. wheelchair accessible routes

Does the student or guest(s) require Spanish translation throughout the event?
Please note, this may not always be available when requested

Yes - both student and guest(s) require translations

Yes - just the guest(s) require translation

Yes - just the student requires translation

No

Guest Information

Number of Guests
Not including the student

Guest 1 First Name

Guest 1 Last Name

Guest 1 Email Address

Relationship to Student

Guest 2 First Name

Guest 2 Last Name

Guest 2 Email Address

Relationship to Student

Guest 3 First Name

Guest 3 Last Name

Guest 3 Email Address

Relationship to Student

Guest 4 First Name

Guest 4 Last Name

Guest 4 Email Address

Relationship to Student

Guest 5 First Name

Guest 5 Last Name

Guest 5 Email Address

Relationship to Student

Preview Day

Person Scheduling Visit

Student Information

High School Information

College Information

Academic Information

Visit Information

Guest Information