Creative Professions Day

Is this form being filled out by the student? *

Yes

No

Your Information

What is your relationship to the student? *

Your First Name *

Your Last Name *

Your Email Address *

Your Mobile

I authorize text messages to the mobile telephone number above and accept responsibility for any charges incurred. *

Yes

Student Information

Student First Name *

Student Last Name *

Student Preferred First Name

Student Pronouns

Student Birthdate *

Student Email Address *

Student Mobile

I authorize text messages to the mobile telephone number above and accept responsibility for any charges incurred. *

Yes

Intended Start Term*

Student Type*

Intended Major *

Instrument *

Current High School *

Anticipated Graduation Date *

Most Recent College or University Attended *

Mailing Address

Country

Street

City

Region

Postal Code

Would you be considered a first-generation college student? (Neither parent graduated with bachelors degree)

Yes

How many guests will be accompanying the student to the event? *

If you require any dietary or physical accommodations to participate in the event please list them here.