Bluejay Visit Day - November 1, 2024

External Form Name

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Group

Student Information

Student First Name

Student Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Student Email Address

Student's Cell Phone Number

Parent Email

Parent relation - hidden field

Would you like to receive text messages related to the event from Creighton?

Yes

No

High School Graduation Year

What is your academic area of interest?

Please select a pre-professional interest (select none if not applicable)

Entering as a freshman or transfer?

High School Name

CEEB Code

HS Level of Study

Arts and Sciences Majors Session

Optional: If you are interested in learning more about specific majors offered in the College of Arts and Sciences, please select an additional major information session to attend below. Campus tours will depart following this breakout and your day will conclude around 1 pm. Please note: sessions are offered based on faculty availability.

Would you like to add this session to your schedule?

Yes

No

Physical Therapy, Occupational Therapy, and Pharmacy Information Session

Optional: If you are interested in learning more about accelerated pathways for Physical Therapy, Occupational Therapy, or Pharmacy at Creighton. This additional breakout session will dive into details about these programs. Campus tours will depart following this breakout and your day will conclude around 1 pm. Would you like to add this session to your schedule?

(please note, this sessions is scheduled at the same time as the Arts and Sciences Major sessions, you can only select one additional session to attend)

Yes

No

Guest Information

How many family members will be coming with you?

(Note: If another high school student will be joining you, they should complete a separate registration)

Guest 1 First Name

Guest 1 Last Name

Guest 1 Email

Guest 1 Relationship

Guest 2 First Name

Guest 2 Last Name

Guest 2 Email

Guest 2 Relationship

Guest 3 First Name

Guest 3 Last Name

Guest 3 Email

Guest 3 Relationship

Guest 4 First Name

Guest 4 Last Name

Guest 4 Email

Guest 4 Relationship

Guest 5 First Name

Guest 5 Last Name

Guest 5 Email

Guest 5 Relationship

Form Date

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 Visit and Events team at 402-280-2703 or email admissionsevents@creighton.edu.

Would you like to request an accommodation?

Yes

No

Please describe the accommodation(s) needed.