EmailMe Form - New Student Orientation 2023-2024

Student ID #: *

7-digit number begins with 216....

Name *

First MI Last

Date of Birth *

MM / DD / YYYY

Gender *

Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Home Phone (Optional):

### - ### - ####

Student Mobile Phone: *

### - ### - ####

Personal Email (student): *

Confirm

Parent Mobile Phone (Optional): *

### - ### - ####

Parent/Guardian Email: *

Confirm

Please select option that best describes your enrollment: *

Freshman (First Time)

Transfer Student

Intended Major: *

Choose Orientation Date: *

January 4-6, 2024

Blazer Size *

T-Shirt Size *

Number of guests attending New Student Orientation (Not including student). Please limit to 2 additional guests *

Dietary Restrictions

Required Fee

The non-refundable $170 enrollment fee must be paid with this registration form. For students that will be living on campus a housing application must be submitted in addition to this form.

I have already paid the non-refundable enrollment fee. *

Yes

No

Date of Payment:

MM / DD / YYYY

Thank you for submitting your New Student Orientation registration form!

Once the form is submitted below, you will receive a confirmation email with next steps to the student email address provided. You will also be redirected to our FAQS page for your review, please do NOT submit multiple forms. If you have any questions or concerns you may contact osr@shawu.edu.