Sign me up for CIU Preview! September 25-26, 2008


Fields marked with an asterisk (*) are required.

Personal Information

First Name:
*
Last Name:
*
Preferred Name:
Address:
*
City:
*
State:
*
Zip/Postal Code:
*
Country:
E-Mail:
Home Phone:
Cell Phone:
Gender:
*
My t-shirt size is:
*

School Information

I heard about CIU through:
*
I plan to enroll:
*
High School Grad Year:
*
Transfer Student?

I plan to major in:


First Choice:
Second Choice/Minor:

Travel Plans

I plan to arrive:

Thursday, September 25, 4:00 - 6:00 pm
Friday, September 26, 7:30 - 8:00 am
I plan to arrive at another time. Please contact the Campus Visit Coordinator if you need to arrange an alternate arrival time: visitciu@ciu.edu or 1-800-777-2227, ext. 5058.

CIU provides complementary airport/bus pickup within Columbia. If you would like to request this service, please include your flight/bus number, arrival time, and any necessary details below.

I would like to be picked up at the airport and have included my information below.
I would like to be picked up at the bus station and have included my information below.
I do not need to be picked up.

Arrival Date:
Arrival Time:
Flight/Bus No:
Departure Date:
Departure Time:
Flight/Bus No:


Accommodations

I would like to stay on campus in the Residence Halls with a CIU Student.

Roommate Preference?

I will stay off campus. Click here for hotel info.


Scholarship Interviews

CIU would like to get to know you better while you are visiting. We will be having optional interviews with our Admissions staff to help us learn more about you and help us decide on future scholarship recipients.

Interviews will be held on Friday, September 26th from 3:00 – 5:00 pm and are open to high school seniors or juniors.

YES! I plan to enroll full-time at CIU in Fall 2009 and would like to participate in the Scholarship Interviews on Friday, September 26th from 3:00 - 5:00 pm.


Guests

Guests and family members are welcome to join you for CIU Preview. However, please know that no childcare will be provided. In order to prepare for your guests arrival, please give us their name and relationship to you below. Please do not include fellow prospective students. Each prospective student should fill out his or her own form.

Number of Guests: *

Names/Relationships of Guests:

Name:   Relationship:
Name:   Relationship:
Name:   Relationship:
Name:   Relationship:
Name:   Relationship:

Comments / Requests:

Your request will be sent to the campus visit office.
If you do not receive a reply within two weeks,
please contact us at (800) 777-2227, ext. 5058.
Thanks for your interest in CIU!