MSOE Campus Visit & Tour Registration

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City *

State *

Zip/Postal Code *

County

Country *

First Name *

Student Given Name

Last Name *

Student Family Name

Preferred Pronouns

Preferred Name

Email *

Primary Phone *

Primary Phone Country Code

I'd like to receive text and voice messages to this number and I have read the opt-in policy.

Please enter your primary mobile phone number.

Entry Year *

Which calendar year are you planning to enroll?

Student Type *

Major *

Let us know what interests you! (Business Administration Degrees are only available for Winter/Spring start terms)

Graduate Major *

Certificate *

Sports

Have you participated in or interested in learning more about any of our listed varsity athletic programs?

Address Line 1 *

Address Line 2

Zip/Postal Code *

Parent/Guardian #1 First Name *

Parent/Guardian #1 Last Name *

Parent/Guardian #1 Relationship *

Parent/Guardian #1 Email *

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Relationship

Parent/Guardian #2 Email

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