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Event Information
Date Friday, April 26, 2013

Please indicate if you would like:

Campus Tour
Housing Tour

 

Student Information
First Name*
Last Name*
Date of Birth*
MM/DD/YYYY
Email*
Telephone*
###-###-####
Street Address*
City*
State/Province*
Postal Code*

I will need:

   

 

I am/have the following dietary restrictions:

                   

 

Academic Information
Current High School*
Academic Interest

During the event, you will have the opportunity to learn about Portland State's many academic programs.

If you do not find your program, select Undecided in the drop down box below and enter your interest in the "Other Academic Interest" field.

Academic Interest (additional choice)

If you'd like, please select another interest

Guest Information
Guest 1
Relationship to Me

My guest will need:

Wheelchair/Mobility assistance     Sign language interpreter (two weeks notice is required to guarantee an interpreter)

 

My guest is/has the following dietary restrictions:

Vegetarian     Vegan     Gluten free     Peanut allergy     Lactose intolerant

 

Guest 2
Relationship to Me

My guest will need:

Wheelchair/Mobility assistance     Sign language interpreter (two weeks notice is required to guarantee an interpreter)

 

My guest is/has the following dietary restrictions:

Vegetarian     Vegan     Gluten free     Peanut allergy     Lactose intolerant