Carroll Connectors Registration

JCU Grad Year*

First Name*

Last Name*

Maiden Name (Optional)

SPACE

Email Address*

Cell Phone*

SPACE

Address

Country

Street

City

Region

Postal Code

SPACE

High School*
Enter main words in your school name to select your institution in the list provided. Selecting the school will populate the School Code field below.

High School CEEB

Employer

Position

SPACE

Involvement Interests*

Attendance at College Fairs in my area

Attendance at On-Campus Admission Events

Attendance at Regional Admission Events

Linking to JCU Social Media

Promoting Visits and Events

Providing a Scholarship

Sponsoring a Regional Admission Event

Talking to parents of admitted students

SPACE

List your first and last name as you would like it to appear on printed materials or a nametag.