Lafayette (East Bay) Discover the U

Student Information

* Indicates required field.

Student's First Name*

Student's Preferred Name

Student's Last Name*

Student's Birthdate*

Student's Email Address*

Confirm Student's Email Address*

Student's Cell Phone Number

May we text you about important updates & events to this number? You can opt-out anytime by texting STOP.*

Yes

No

Student's Mailing Address*

Country

Street

City

Region

Postal Code

Which school has the student most recently attended?*

CEEB Code

What year did the student/will the student graduate from high school?*

When does the student plan to start college?*

Select which best applies to the student*

Student's Academic Interest #1*

Student's Academic Interest #2

Do you have any questions you would like us to answer at the event?

Please select your student type*

Please list any food allergies/accommodations needed for you or your guest(s).

Guest Information

Students can bring up to 2 additional people to the event. Fill out the information below for the additional attendees. If special circumstances are needed, please email campusvisits@utah.edu.

If you are able to fill out the student information above, but receive an error when guest information is trying to be added, submit the form with 0 guests. Then, email us the guest information and we'll add it for you.

How many people does the student plan to bring with them to the event?*

0

1

2

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