Admission | Campus Visit Registration Form

Admission Home > Visit Jewell > Register

Please fill out the form below. All fields marked with a red asterisk (*) are required. When you have finished, please click the "I'm coming to visit Jewell!" button.

*Visit Type:
*Summer Visit Date:	(Only if selected above)
*Summer Visit Time:
*Summer visits include:	Tour Campus Meet with an Admission Counselor
* # of guests attending:	You + more
*First Name
*Preferred First Name/Nickname
Middle Initial
*Last Name

*Street Address
*City
*State
*Zip Code

*E-mail
Phone Number (xxx-xxx-xxxx)
Cell Phone Number (xxx-xxx-xxxx)	Please check if you accept text messages

Gender	Female Male

*High School
City and State of High School
*Year of High School Graduation
Anticipated College Start Term


Academic Programs of	Interest:
First major
Optional second major
Optional minors
Pre-Professional Programs

Co-Curricular Student Clubs & Organizations	Interests:
NCAA Division II Athletics
Comments? Questions?

Note: After submitting this form, the Office of Admission will contact you via phone and/or email to confirm your visit to campus. If you have questions, please contact the Admission Office at 816-415-7511.

William Jewell College · 500 College Hill · Liberty, MO 64068

816-781-7700