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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 (not including yourself) will be attending Open House?
Are you interested in a tour? Yes No
How did you hear about UHD Open House: UHD Website UHD Email UHD Postcard UHD Poster UHD Faculty UHD Staff UHD Student High School Counselor College Counselor College Fair Radio Other if other please specify
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Last updated or reviewed on 1/19/12