Admissions Event Registration Form

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

County

Phone *

Email *

Intended Major

Entering USJ

H.S. Graduation Year

Event *

Transfer & Transform, Wednesday, June 19, 5:45 p.m., Crystal Room, Mercy Hall
Second Degree Accelerated Nursing Information Session, Wednesday, June 19, 5:45 p.m., Mercy Hall

Number Attending

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