Warrior Day

Admitted Student Information

First Name*

Preferred name for your name tag

Last Name*

Student Phone Number*

Phone Type*

Email Address*

Parent Email Address

Guest Information

Number of Guest(s) Attending

Guest 1 Name

Guest 2 Name

Mailing Address

Mailing Address*

Country

Street

City

Region

Postal Code

Academic Information

High School*

Primary Major*

Second Major

Campus Tour

Would you like a tour of campus?

Yes

No

Would you like to see one of Lycoming's residence halls?

Yes

No

Additional Information

Please indicate if you or a family member may need additional mobility assistance.

Does anyone in your family speak a language other than English?

Yes

No

What language do they speak or feel most comfortable with?