Information Session Form - NIU - Undergraduate Admissions

NIU Undergraduate Admissions Reception

Please complete the form below to register for this event.

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Student's First Name:
Student's Last Name:
Address:	(please include an apartment or unit number if applicable)
City:
State:
Zip:
E-mail:
Preferred Phone:	- -
Student's Date of Birth:	/ /
High School Attending (ed):
High School Graduation Year:
I will begin college in:
Intended Major:
Total Number of Guests Attending Event:

To request disability related accommodations please call (815) 753-8464 or email blong1@niu.edu at least 1 week prior to the date of the event.

After you click "Submit," please print the confirmation page and bring it with you to the program.

Tuesday, October 30, 2012
6:00-8:00 p.m.

Grayslake Area Public Library
100 Library Lane
Grayslake, IL 60030