Occupational Therapy Regis Information Session

Group

First Name

Last Name

Your name as you would like it to appear on your name tag

Which program are you interested in?

Academic Interest

Preferred Entry Term

Email Address

Mobile Phone Number

I give Creighton permission to text me from time to time regarding program details.

Yes

No

I give permission to receive telephone calls and text messages that deliver AI messages and that provide details about Creighton University at this telephone number.

Yes

We are committed to hosting inclusive and accessible events that allow all individuals, including those with disabilities, to fully participate. If you or any of your guests require accommodations, please complete the information below to request them. For additional questions or to provide more information, please feel free to contact the School of Pharmacy and Health Professions Office of Admission at 402.280.2662 or email spahpevents@creighton.edu.

Yes

No

Please explain:

Will you have guests attending with you?

Yes

No

How many guests?