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Home › Admissions › Visit Campus

Visit Registration Form

Personal Information

First Name: *

Last Name: *

Gender: *

Female

Male

Contact Information

Mailing Address: *

City: *

State/Province: *

County: *

ZIP/Postal Code: *

Country: *

Home Phone Number: *

Cell Phone Number:

Email Address: *

Academic Information

Interested in enrolling as a: *

Freshman

Transfer

Dual Enrollment

High School: *

High School Graduation Year: *

College: *

Name of College: *

Interested in enrolling for: *

Please specify your primary academic interests from the menus below. If you are unsure, indicate "Undecided" as your first preference.

First Preference: *

Second Preference:

Event Information

We are closed May 27, July 4-5 and September 2 in observance of holidays.
Our Summer Preview Days are June 27 and August 2.

Event: *

Weekday Visit

Special Event

Overnight Visit

Number of people attending (including the student): *

Special Events: *

Every visit will include a meeting with an admission counselor and a full campus tour which includes a stop at a residence hall room.

Date: *

Monday-Friday Only

Time: *

Personalize Your Visit:

Enjoy a meal in our dining hall

Meet with an athletic team representative

Visit the Media Communication Center

Learn more about music opportunities on campus

Learn more about the Honors Program

In which academic department would you like to visit a class: *

From which academic department would you like to meet a professor: *

Which team would you like to meet with: *

Vocal or Instrumental Speciality: *

Date: *

Preferred Time: *

10:00 am

11:00 am

11:30 am

You may only register for an overnight visit if you have already applied and been accepted to Heidelberg University.

Date: *

April 4

You will also be registered for the Open House event that follows your overnight visit.

Name of Emergency Contact: *

First and Last Name

Relationship to student: *

Emergency Contact Phone Number: *

Date: *

November 2, 2012

Date: *

What would you like to do on your visit:

Full Campus Tour

Residence Hall Tour

Honors House

Theatre

Media Communication Center

Brenneman Music Hall

Saurwein Health and Wellness Center

Attend a class

Meet a Professor

Meet with a coach

Have a meal

Meet with Financial Aid

Meet with a representative from Women's Leadership Initiative

Specific professor(s) or department(s):

From which team: *

How you would like us to confirm your registration: *

Postal Mail

Email

Additional Comments or Special Needs:

i.e. time constraints, mobility assistance, hearing/visual impairments, dietary restrictions, etc.

Admissions

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