Campus Visit, Southeast Missouri State University


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Campus Visit and Show Me Days Calendar

SHOW ME DAY REGISTRATION

Required Fields are indicated in red.

Show Me Day Date:

10/5/2013

Last Name:

First Name:

Middle Initial:

Number of Guests Attending:

Phone Number:

()

Email Address:

Address:

Address (continued):

City:

State:

Zip Code:

Date of Birth:

Month:

Day:

Year:

High School/Community College Currently Attending:

Year Graduating
(High School Only):

ACT Score:

SAT Score:

Area of Academic Interest:

Extracurricular Activities of Interest:

I plan to enter as:

Undergraduate Student:

Transfer Student:

Approximate Date of Intended Enrollment:

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