Learning Support Program Open House

Student Type

First Name

Preferred First Name (if different from above)

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Number:

I would like to receive text notifications from Marist University.

Campus Preference

Poughkeepsie, New York

Florence, Italy

Online

Anticipated Start Term

Intended Major

Program

Will additional guest join you at this event?

Yes

How many guests will attend not counting yourself?

Will any Marist alumni be joining you for this visit? If so, please list name and grad year.

If you require any assistance or accommodations during your visit, please list:

Are you interested in touring our athletic facility at the conclusion of your general tour? (adds approx. 30 min to visit).

Yes

Current School

Level (your current school type)

(Planned) Graduation Date

Yes, I'd like to learn more about First Year Abroad

Are you or your parent(s) a member of or a veteran of the U.S. Armed Forces?

Military Branch

Would your parents/guardians like to receive information from Marist?

Yes

Parent/Guardian 1

Relationship to Applicant Above

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Number

Add Another Parent/Guardian

Parent/Guardian 2

Relationship to Applicant Above

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Number