EmailMe Form - December 1 & 2, 2017 -- Admissions Visit

Student's Name *

First MI Last

Student Nickname

Date of birth *

MM / DD / YYYY

Mailing Address *

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

Phone *

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

Parent Email Address *

Confirm Email Address

Student Email Address

Visit Confirmation will be sent to parent email

Date you would like to visit *

Number attending the visit
(include yourself) *

Major *

Year of H.S. Graduation *

Please select one *

Current high school or college *

Is a member of your party an LHU Alum?

Yes!

Name of Alumni

First Last

Graduation Year

Have you already scheduled any other appointments on campus?

Yes

No

(To schedule an appointment with a coach or faculty member, please contact the Admissions Office at 570-484-2027)

If so, with which person or department will you be meeting and when?

Would you be interested in meeting with ROTC?

Yes

No

Additional comments or information:

BEFORE YOU SUBMIT....

Although all visits are open to the public, this registration provides us with the opportunity to better prepare for your visit.

A confirmation email with links to a parking pass, map of campus and directions will be sent to the parent email address provided above. If you prefer that the visit confirmation be sent to a different email address, please change the address above before submitting this form.

Please click on the "Submit Request" button below to process your registration.