November Visit Day

Student Information

First Name

Preferred Name

Last Name

Email Address

Mobile Phone Number

Can we text your mobile number?

Yes

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Name of Most Recent High School or College

Level of Study

High School Graduation Year

What best describes your student type?

What year will you start at Concordia?

What major areas are you interested in? (Ctrl + Click to select multiple)

Parent Or Guardian Information

DeleteParent or Guardian # _ID_
First Name Last Name Parent or Guardian Email Address How they are related? Has anyone in your family attended Concordia (parent, grandparent, or siblings)? Yes No Concordia Graduation Year

Add another family member

Visit Information

How many guests will be attending the visit with the student?

If you have any additional visit requests, dietary restrictions, accommodations, or need to leave campus by a specific time, please indicate so here:

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