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Information Session Registration

NIU Undergraduate Admissions Information Session

Rockford
Wednesday, October 17, 2012

Please complete the form below to register for this event.

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Student's First Name:
Student's Last Name:
Address:
City:
State:
Zip:
E-mail:
Preferred Phone:
Student's Date of Birth:
Current School Attending:
High School Graduation Year:
I will begin college in:
Intended Major:
Total Number of Guests Attending Event:

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



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