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 Science and Math Careers Day
 
Saturday, November 15, 2003
Yes, I Will Attend...
Registration closes at 5 p.m. on Monday, November 10. If you attempt to register after this deadline, you must call the Office of Admissions at 503-838-8211 (V/TTY) to confirm your registration (space may or may not be available).
Student Attendee
First Name:   MI:   Last Name:
   
Street Address:
City:   State:   Zip:
   
Phone:   E-mail (required):
 
Current Education
  High School Student     Transfer Student
  High School Name | Graduation Date:     College Name:
        
Have you decided on a major or minor?
  Undecided     Yes (Please Specify)
What is your current level of interest in Western Oregon University?
  Very Interested     Somewhat Interested     Uncertain
Shall we contact you?
Would you like a Western Oregon admissions representative to contact you to schedule an individual campus visit?
  Yes     No
Do you need any accomodation of disabilities to attend this event?
  Sign Language Interpreter     Mobility Assistance     Other (Please Specify in Notes)
Which sessions do you plan to attend?  (Check all that apply.)
  Biology     Earth Sciences     Mathematics     Chemistry     Health Sciences
Other Notes
  This registration is submitted via e-mail. You will be asked to confirm your e-mail
after clicking this register button; you must do so to fully submit your information.
 Western Oregon University Contact Information
Last Updated: Tuesday, 24 February, 2004 12:21 PM
wolfgram@wou.edu