Nursing Open House

Saturday, March 28, 2026 at 10:00 AMCentral Daylight Time UTC -05:00

Contact Information

First Name

Last Name

Birthdate

Email Address

Mobile Phone

Mobile Opt-In

Yes

Provide Mailing Info

Mailing Information

Mailing Address

Country

Street

City

Region

Postal Code

Is your permanent home address different?

Yes

Permanent Address

Country

Street

City

Region

Postal Code

Parent Contact Information

Parent or guardian contact is optional, but encouraged so they can receive important updates.

Parent/Guardian Email

Parent/Guardian First Name

Parent/Guardian Last Name

Academic Information

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Current School Name

When will you be graduating from your current school?

What type of student best describes you?

New First Time Freshman

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Currently Enrolled Student

When do you plan on starting school?

Outside Interests

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Guests

Excluding yourself, how many people will be joining you?