Blue Streak Basketball Night

All fields marked with an asterisk (*) are required.

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STUDENT TYPE

Student Type *

Current High School Student

High School Graduate or College Transfer

Students who are enrolled in college-level coursework (either taught at their school or at a nearby college), but have not yet graduated from high school, should select "Current High School Student" above.

Projected Starting Term at JCU *

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STUDENT PERSONAL INFORMATION

Student's Legal First Name *

Student's Preferred First Name / Nickname (if applicable)

Student's Last Name *

Student's Birthdate *

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STUDENT CONTACT INFORMATION

Student's Home Address *

Country

Street

City

Region

Postal Code

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Student's Mobile Phone (include area code)

Supplying your cell phone number will opt you in to receiving periodic text messages related to the enrollment process and important deadlines. Message rates may apply.

Student's Email *

As many schools block their email accounts from receiving emails from outside entities, we encourage you to supply a personal email address (e.g. Gmail, Yahoo, etc.) rather than a school-issued email address.

Parent's Email Address

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STUDENT SCHOOL INFORMATION

Begin typing the primary words in your school name to select your institution from the list which will appear as you type. The ‘School Code’ field below will automatically populate once a school is selected from the list of school names provided.

Current (Or Most Recently Attended) College/University *

College CEEB Code

Year of High School Graduation

High School *

High School CEEB

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Academic Interests

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ADDITIONAL VISIT INFORMATION

Are you interested in the optional campus tour at 4:30 PM?

Yes

No

Are you interested in the optional campus tour at 4:30 PM?

Yes

No

Are you interested in the optional campus tour at 5:45 PM?

Yes

No

Are you interested in athletics at JCU? If so, please select from the list of sports below.
Be sure to also complete our athletic recruitment form here.

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Including yourself, what is the total number of guests we should expect on your visit? *

Is any guest coming to campus with the student on his or her visit an alumnus of John Carroll? *

Yes

No

Alumnus First Name

Alumnus Last Name

JCU Grad Year

Relationship to Visiting Student

Is another guest coming to campus with the student on his or her visit an alumnus of John Carroll? *

Yes

No

Alumnus 2 First Name

Alumnus 2 Last Name

JCU Grad Year

Relationship to Visiting Student

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Do you, or someone accompanying you on your visit, require any special assistance related to any disability or injury? *

Yes

No

Please explain: *

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