Student Information

Where does Mount Mary University fall in your college selection?

Mount Mary University is my first choice college

Mount Mary University is in my top 5 college choices

Mount Mary University is in my bottom 5 college choices

Mount Mary University is not on my list of college choices

Student Type

Entry Term

First Name

Preferred Name
If the same as your first name, please reenter your first name.

Last Name

Personal Email Address

Mount Mary Email Address

Phone Number

Phone Type

Mobile Phone

Primary Phone (landline)

Work Phone

Do you give Mount Mary University permission to text the mobile phone number listed?

Yes

No

Academic Program of Interest

Alumni Information

First Name

Preferred Name
If the same as your first name, please reenter your first name

Last Name

Email Address

Phone Number

Phone Type

Mobile Phone

Primary Phone (landline)

Work Phone

Do you give Mount Mary University permission to text the mobile phone number listed?

Yes

No

Guest Information

Due to the popularity of this event, student's are only able to bring one guest to the Blue Angels Brunch

Number of Guests
Not including the student

0

1

Guest First Name

Guest Last Name

Guest Email Address

Relationship to Student

If other, please specify:

Additional Information

Please list any food allergies or dietary restrictions you or your guest have:

Please list any accommodations you or your guest may require:

Blue Angel Brunch

Student Information

Alumni Information

Guest Information

Additional Information