Personal Visit Reservation

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Please fill this form out completely. NOTE: This is a request for a visit reservation. Your visit is not confirmed until you have received confirmation from an admissions representative.

Personal Information

First Name: *

Last Name: *

Preferred Name: *

Gender: *

Male

Female

Home Address: *

City: *

State: *

Zip/Postal Code: *

Email Address: *

Phone: *

This number is a: *

Cell Phone

Home Phone

Work Phone

Education Information

Status: *

Desired Starting Term: *

Possible Major:

Last (or Current) School Attended: *

Visit Information

Preferred Date: *

Alternate Date:

I would prefer a: *

morning visit (beginning at 9:30 or earlier, depending on the options I choose)

afternoon visit (beginning at 11:00 or later, depending on the options I choose)

Number in Party: *

Visit Options:

Admissions Appointment: Meet with an Admissions Counselor for a personalized Q & A session with you and your family.

Campus Tour: 1 hour walking tour of the campus

Attend Chapel: Check out our daily chapel service (11am)

Preview the Cafeteria: Have lunch in the NCU cafeteria - FREE! (12pm)

Observe a Class: Sit in on a class with one of our outstanding professors. (Selection of classes will vary)

Other Options

I would like to meet with a coach: *

Yes

If yes, which sport?:

I would like to stay overnight in the dorms:

I would like to meet with a Faculty Member during my visit:

Comments/Questions::

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