Oregon Private College Week: Morning Session

Student Information

How many people will be attending (including the student)?

Student First Name

Student Preferred First Name

Student Middle Name

Student Last Name

Student Birthdate

Student Email Address

Student Cell Phone

Student Home Phone

May we text this mobile number with important information and updates?

Yes

Student Home Address

Country

Street

City

Region

Postal Code

Student Home Phone

Are you a U.S. citizen or permanent resident?

Country of Citizenship

Academic Information

Applying as a:

First Year

Transfer

High school graduation year:

Anticipated college start term:

To select your current school, start typing the name of the school, then select from the drop-down list.

School you attend now

School CEEB

Primary Academic Interest

Secondary Academic Interest

Optional Information

Sex Assigned at Birth:

Female

Male

Pronouns (check all that apply):

He/Him/His

She/Her/Hers

They/Them/Theirs

Zi/Zir/Zirs

If you would like, we invite you to share more about your gender identity.

A copy of all visit-related emails will be sent to the Parent or Guardian listed below.

Relationship to Student

This Parent/Guardian resides with the student:

Yes

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Cell

Comments

If you or anyone in your party requires special accommodations during the visit, please specify. (e.g. ADA tour route)

How did you hear about this event?

Please Note: The Office of Admissions is unable to make special appointments with Athletics, the Office of Student Accessibility or Financial Aid. If you would like to meet with a member of those offices, please contact them directly.

Photo Release
I understand that Lewis & Clark College and the Oregon Alliance of Independent Colleges and Universities may take photos for promotional reasons during Oregon Private College Week. I agree to allow my photo to be taken while on Lewis & Clark's campus.

Yes