School of Nursing BSN In-Person Information Session and Tour

Event Details

How many guests will be attending in addition to the student? (This number should NOT include the student.)

Student's Information

Student's First Name

Student's Last Name

Do you go by a name other than your legal first name?

Yes

No

Student's Preferred Name (optional)

Student's Birthdate

Student's Contact Information

Student's Mobile Phone Number

I agree to receive text messages from the University of Pittsburgh. I understand that I can text HELP or STOP to receive more information or stop receiving messages, respectively. I understand that message frequency may vary, and message and data rates may apply. I agree with the terms of use and privacy policy, and I understand that this consent is not a condition for any services.

I DO NOT want to receive text alerts from the University of Pittsburgh.

Student's Email Address (This address will receive a confirmation email.)

Student's Address

Country

Street

City

Region

Postal Code

Address: Country calculated (HIDDEN)

Additional Contact Information

I would like to add an additional email address to receive the confirmation for this event

Yes

No

Additional Email for Confirmation(This address will receive a confirmation email.)

I would like to add an additional mobile number to receive updates about this event

Yes

No

Additional Mobile Phone Number (This number will only be used for visit-related text updates.)

Parent or Guardian First Name

Parent or Guardian Last Name

Student's Academic Information

Current or Last School

CEEB (HIDDEN)

What kind of applicant is the student?

Expected Entry Term

Academic Interest