Summer Visit

We ask that only student contact information is entered as it is used to correctly identify each student's record.
*denotes required field

Student Information

First Name*

Middle Name

Last Name*

Birthdate*

Student Email Address (email confirmation will be sent to this address)*

Mobile Phone Number*

You’re signed up to receive text updates from the University of Mount Union. Please select "no" to opt out.

Yes

No

Mailing Address*

Country

Street

City

Region

Postal Code

High School*
(enter at least 2 characters for each word when searching for your school name)

High School CEEB

Start Term*

Student Type:

Academic Interests (use Ctrl to select multiple)

Event Details

Event Date

Friday, July 10

Friday, August 14

Including yourself, how many will be in your party? (You may bring up to 3 guests.)*

1

2

3

4

Do you or any person in your party need accommodations due to a disability?

Yes

No

If yes, please explain.

Does anyone in your party have any dietary restrictions?

Please specify dietary restrictions in order for us to accommodate your needs (i.e. vegetarian, vegan, gluten-free, lactose-intolerance, etc):

During the event, the Office of Marketing may take photos or record video for marketing purposes. I give the University of Mount Union permission to use my/my child's photograph/video for the purpose of promoting the University of Mount Union via social media, local and national media outlets, university publications or other printed materials, and on the Mount Union website?*

Admission

Summer Visit