Saturday Visit

*Asterisk denotes a required field. You must complete the fields before submission.

One form should be completed for each prospective student taking part in the campus visit.

	Saturday Visit Itinerary
Check-in and Coffee Social	9:30 a.m.
Welcome and Admissions Presentation	10:00 a.m.
Campus Tour	10:30 a.m.
Complimentary Lunch in a Dining Hall	11:30 a.m.
Blueprint for Success Presentation	12:30 p.m.

Note: Faculty and department representatives are not available for Saturday visits.

Student Information

First Name *

Preferred First Name

Middle Name

Last Name *

Email Address *

Student Cell Number *

I give permission to Michigan Tech to send me important updates via text messaging. (Standard message charges apply.)

Birthdate *

Mailing Address *

Country

Street

City

Region

Postal Code

Would you like a parent/guardian to receive information about Michigan Tech? *

Yes

No

Parent/Guardian Information

Relationship to You *

First Name *

Last Name *

Email Address *

Phone Number

Phone Type

Cell

Home

Would you like to add another parent/guardian? *

Yes

No

Relationship to You *

First Name *

Last Name *

Email Address *

Phone Number

Phone Type

Cell

Home

Academic Information

Semester and year you plan to enroll at Michigan Tech *

Intended Major *

Are you a first-year or transfer student? *

First-year

Transfer

High School Name *

College Name *

Keeping your group as small as possible will allow as many students to visit as possible. Thank you!

Group Size: Number of people that will attend, including you *

Additional Information

Would you like to sign up for an adaptive tour?
This tour will accommodate those who would like a little more time or need to use mobility/adaptive equipment.

Yes

No

Use the space below for comments, questions, or to list any special accommodations needed.