Open House Registration

REGISTRATION FORM

First Name

Last Name

Mailing Address

Apartment #

City		State
Zip Code	E-Mail	Phone Number
Date of Birth (MM-DD-YYYY) - -

Please indicate if you are a prospective first time freshman or transfer student

Intended College Major

Name of college(s)/high school currently attending (specify campus)

How many guests will be attending the Open House?

Persons with disabilities who require special accommodations are asked to contact the Office of Admissions at 713-221-8522 at least two weeks before the event. UHD is an equal opportunity/Affirmative Action Institution. Minorities, women, veterans and persons with disabililties are encouraged to apply.