I will attend Admitted Student Day in:

Springfield (Thursday, February 28)
St. Louis (Sunday, March 3)

First Name:

Last Name:

Address:

City:

State: MO AK AL AZ AR CA CO CT DE FL GA HI IA ID IN IL KS KY LA MA MD ME MI MN MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA WA VT WI WV WY

Zip Code:

Phone:

Email:

Name of High School:

GPA:

ACT/SAT Score:

Major: Undecided Accounting Advertising American Political Studies Architecture Art History Arts Administration Biology Chemistry Computer Information Systems Computer Science Criminology Design Arts Economics Elementary Education 3-2 Engineering Dual Degree English Environmental Health Science and Protection Environmental Science Environmental Studies Exercise & and Sport Science Excercise Physiology Finance Fine Arts French German History Integrated Media International Political Studies Management Marketing Mathematics Medieval Studies Middle East Studies Music Music Education Music Therapy 3-2 Occupational Therapy Phylosophy Philosophy/Religion Physics Politics and Government Pre-Chiropractic Pre-Clinical Profusion Pre-Dental Pre-Law Pre-Medical Pre-Medical Technology Pre-Optometry Pre-Pharmacy Pre-Physical Therapy Pre-Physicial's assistant Pre-Veterinary Psychology Public Relations Religion Secondary Education Sociology Spanish Speech Communication Sports Management Theater Visual Communication Writing Other

Total number of attendees (including yourself):

Shirt Size:

S M L XL XXL

Full names of additional attendees:

Gender

Male Female