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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
© 2002-03 Western Oregon University
Last Updated: Tuesday, 24 February, 2004 12:21 PM
wolfgram@wou.edu
