Visit Registration Form (Nyack Campus)

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Jul 22, 2017 Rockland Campus Visit Day
10:00 AM
1 South Blvd. Nyack, NY 10960

Experience first hand what makes our Rockland Campus a unique place to prepare for your future. You will attend the following:

-Chapel service
-Class
-Student Life Panel
-Financial Aid Seminar
-Campus Tour

Visit Weekend attendees spend a night in a dorm with current student hosts.

(*Please note during the Summer months of May - August our chapel services and classes are not in session.)

First Name:

Middle Initial:

Last Name:

Street Address:

City:

State:

Zip:

Country:

Phone:

Email:

Parent/Guardian Name:

Parent/Guardian Email:

2nd Parent/Guardian Name:

2nd Parent/Guardian Email:

Gender:

Male

Female

Name of High School:

Date of HS Graduation:

How did you hear about this Visit Day?

How did you originally hear about Nyack College?

When do you plan to begin study?

Major/Interest:

# of Visitors:

Please list their names and relation to you:

Check all that apply:

I would like to meet with a coach (seniors only)

Indicate which sport you are interested in:

I would like to set up a meeting with the Music Dept.

I will need housing (Visit Weekend only)

I have pre-arranged housing

Name of student on campus:

Cell phone # of student on campus:

Visit Registration Form (Nyack Campus)

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