Central PA Preview Day

Student's Biographical Information

Student's Given First Name

Student's Preferred Name (if different than above)

Student's Last Name

Student's Suffix (Example: John Smith Jr.)

Student's Pronouns

Student's Birthdate

Student's Contact Information

Student's Email Address

Student's Cell Phone Number

I give Juniata College permission to contact me with AI phone calls and text messages to update me on application, event, and additional information.

Yes

No

Mailing Address (Please include apartment number if applicable)

Country

Street

City

Region

Postal Code

Student's Academic Information

Will you be applying to Juniata College as a First Year or Transfer applicant?

First Year

Transfer

Term you will begin College

High School

College or University

Select your intended primary area of study

If you wish, select another primary area of study

Alumni Connections

Do you have an alumni connection Juniata?

Yes

No

Alumni Connection

Alumni Name and Class Year:

Please list any additional alumni connections below.
Please include their name(s), class year (if known), and relation to you:

Student's Interests

Let us know about your extracurricular interests! This information will allow us to connect you with coaches and directors as you further explore ways to engage with our campus community.

Are you interested in participating in Varsity Athletics at Juniata?

Yes

No

Which Sport?

If more than one sport, please indicate so below:

Are you interested in musical opportunities at Juniata?

Yes

No

Indicate Musical Interest(s):

Both Vocal and Instrumental

Instrumental Only

Vocal Only

Are you interested in learning more about Mock Trial at Juniata?

Yes

No

Guest Details and Contact Information

Please indicate the number of guests that will be with you.

Parent/Guardian Email Address

Parent/Guardian Cell Phone Number

Accessibility & Dietary Information

Do you or your accompanying guest(s) have special dietary needs?
If yes, please describe below.

As guests explore our campus, it will include stairs and small hills. The tour length will vary by group size, but typically requires one hour of walking.
Please share your accessibility needs (if any).

None

Please provide a wheelchair

Student/guest will provide and utilize their own wheelchair

Additional Accommodations Requested:

Comments: