One registration form is needed per student attending.
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 at NIU in:
Intended Major:
To request disability related accommodations please call (815) 753-1536 or email jhying@niu.edu at least 1 week prior to the date of the Open House.
Which open house do you plan to attend? Select One Monday, July 29, 2013
How many family members will also be visiting? Select One None (just me) 1 2 3 4
How did you learn about the NIU Open House. (Check as many as apply.)
NIU Web Site NIU E-Mail Letter from NIU Postcard Poster NIU Admissions Counselor Phone Contact with NIU High School Counselor
Friends Billboard Twitter Facebook Radio/TV Newspaper Other
Race/Ethnic Background (Optional)
American Indian or Alaskan Native Hispanic/Latino Asian-American or Pacific Islander African-American/Non-Hispanic White/Caucasian/Non-Hispanic Other
After you click "Submit," please print the confirmation page and bring it with you to the program.
