Event Registration

Required fields are marked in bold and with an asterisk(*).

Contact Information

First Name

Last Name

Phone Type

Phone

Phone Type

Phone

Check if address is outside of U.S. or Canada

Email Address

Format international addresses as: Address: Piedras No 123 Address (cont): (optional) Foreign Address (required): C7090AAM City: Buenos Aires Country: ARGENTINA

Address

City

Address (cont)

State/Province

Zip/Postal Code

Foreign Address Line

Country

Personal Information

Gender

Birth date

Religious Affiliation

Are you a US citizen

Academic Information

Are you an incoming transfer or graduate student?

College attended:

Current college class standing:

Anticipated Entry Term

Please select one or two academic programs you're interested in learning more about:

Undergrad Academic Program 1

Undergrad Academic Program 2

Academic Program of Interest

Academic Programs 2

Visit Information

Would you like to take a residence hall or university housing tour during your visit?YesNo

Do you have any special dietary needs or request?

Do you have any additional information or request for us?

Family members

Accommodations

Will you need lodging?

When will you arrive?

When will you leave?

Lodging comments

Transportation

Will you need transit to/from a local transportation station?

Arrival Location

Arrival carrier/airline

Arrival reference/flight number

Arrival date

Arrival comments/special instructions

Arrival time

Departure location

Departure carrier/airline

Departure reference/flight number

Departure date

Departure comments/special instructions

Departure time

How are you making your academic decisions?

How did you hear about Andrews University?