Campus Visit Registration Form

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Transfer Student

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Guidance Counselor

2009-2011
Undergraduate
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Campus Visit Registration Form

Plan Your Visit

Please schedule Individual Visits at least 7-10 days after the current calendar date.
Confirmation of your visit and requested date will be made via email and/or phone within
5 days of your request. If you have questions, please contact the Admission Office at 816-415-7511.

Individual Visit Date: (only if selected above)

First Name Middle Name Last Name
Sex: Female Male

Address
City State Zip Code

E-Mail (REQUIRED)
Home Phone

High School (or college, if transferring)
H.S. City Year of Graduation

Will anyone else attend with you? Yes No

If "Yes", total number of guests attending, including you:

Do you need transportation from the airport (Kansas City Intl.)? Yes
If "Yes", when?

Please list your areas of academic interest:

Please list any co-curricular interests you plan to pursue in college:

Comments? Questions?

Note: Upon receipt of this form, the Office of Admission will send you an information packet confirming your visit to campus.

500 College Hill - Liberty, MO 64068
816.781.7700

Office of Admission: 1-888-2-JEWELL