Open House Reservations

PLEASE SELECT DATE ATTENDING OPEN HOUSE ABOVE

Name:
Last Name
First Name

Number of Guests

 Place a "1" if you plan to come alone.
Please include ONLY guests who are not interested in the Nursing Program.
Each prospective student should register separately.

  Address:

Line 1

Line 2

City

   State    Zip 

E-Mail

 Please include an email address to receive parking and driving directions prior to the event.

  Phone: (Numerals only, no hyphens or other punctuation please)

 Daytime

    Ext. 

 Nighttime

   Ext. 

 Select the program you are interested in:
BSN Program 
RN-BSN Transition Program 
MSN Program -