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Medina Campus Visit Night RSVP
Which Medina Campus Visit would you like to attend:
Canceled: Thursday, April 16, 2020 at 6 p.m.
Name:
Address:
City:
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Zip Code:
Phone: (include area code)
Is this number a cell phone number?
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Email:
Check mark for:
High School Senior
High School Junior
High School Sophomore
Considering to Transfer
Non-Traditional Student
Other
If attending high school, what is the name of your school?
If transferring from a different college, where did you or are you currently attending?
Major of interest
Total number attending (including both yourself and guests)
Additional Information
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) denotes a required field