Westmini: Nursing, Performing Arts, Social Sciences

Student Information

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If you provide us with a preferred name, it will be used on future communication from Westminster.

Student First Name *

Student Preferred Name

Student Last Name *

Student Date of Birth *

Student Personal Pronouns

Other

Contact Information

Mobile Phone*

May we send you text messages?*

Yes

Email Address*

Mailing Address*

Country

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Academic Information

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Academic Interest*

Would you like to include additional academic interests?

Yes

Second Academic Interest

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I plan to start school in*

Most Recently Attended School*
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Event Information

Which program session would you like to attend?

Business

STEM

Outdoor Education and Leadership

Which program session would you like to attend?

Nursing

Performing Arts

Social Sciences

Which program session would you like to attend?

Business

Education

Outdoor Education and Leadership

Would you like to attend the optional tour at the end of the event?

Yes

Number of Guests*

Guest 1 Full Name

Guest 1 Relationship to You

Is Guest 1 a parent or legal guardian?

Yes

Guest 1 Email

Guest 1 Mobile

Guest 2 Full Name

Guest 2 Relationship to You

Is Guest 2 a parent or legal guardian?

Yes

Guest 2 Email

Guest 2 Mobile

Do you or any of your guests require ADA accommodations during the visit?

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What would you like to learn more about during your visit?

Westmini: Nursing, Performing Arts, Social Sciences

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