Virtual February Open House

Student's First Name

Student's Preferred Name

Student's Last Name

Student's Suffix (Jr., Sr., III, etc.)

Student's Birthdate

High School Grad Year

Term you will begin College

Student Type?

First Year

Transfer

High School

College or University

CEEB Code

Student Email Address

Parent/Guardian Email Address

Phone Type

Home Phone

Cell Phone

Phone Number (Please include Area Code)*

Would you like a text reminder?*

Yes

No

Mailing Address (Please Include Apartment Number if Applicable) *

Country

Street

City

Region

Postal Code

Sex

Regardless of your answer to the prior question, please indicate how you identify yourself.

Student's Preferred Pronouns

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please indicate how you identify yourself. (You may select one or more.)

Have any of your relatives attended 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:

Primary Academic Interest

Academic Interest 2

EVENT DETAILS

Whether on campus or virtual, prospective students will have the opportunity to participate in a Group Faculty Session based on their academic interests as well as engage with current students on a guided tour and student panel.

Please indicate below which department session you would like to attend and if you have any questions or topics to share with our students in advance.

Preferred Academic Department for Breakout Group Faculty Session: