Jr. Visit Day

Student Name and Contact Information

First Name*

Last Name*

Preferred Name*

Email Address*

Student Cell Number*

Mailing Address*

Country

Street

City

Region

Postal Code

Do you have a parent, grandparent, sibling, or other family member that has attended Drury University? If so please check the "Legacy" box below.

Yes

No

Relationship of Drury Alum*

Would you like to provide contact information for parent/legal guardian?*

Yes

No

Parent/Guardian Relationship*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Academic Information

What school do you currently attend?*
(If your school is not listed please select unknown.)

Hidden Field: CEEB Code

Hidden Field: Level of Study

Year of High School Graduation*

Anticipated Start Term*

Student Type*

Anticipated Major/Program*

Additional Information

Number of Guests (not including yourself)

Would you like to schedule a Financial Aid Meeting on this day?

Yes

No

Additional Comments: (Please include any mobility concerns, health issues, or other considerations for your visit.)