Twin Cities Select Scholars Reception

External Form Name

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GUID

Subgroup

Student Information

Student First Name

Student Preferred First Name

Student Last Name

Student Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Student Email Address

Parent Email

Student's Mobile Phone Number

Student mobile number type hidden

I would like to receive text messages related to the event and admissions from Creighton

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.

Student's Home Phone Number

Student Home Phone Type Hidden

When do you plan to enroll

What are you interested in studying? Select from the list of majors and minors offered at Creighton.

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

Entering as a freshman or transfer?

High School Name

CEEB Code

Level of Study

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

Relationship

Guest 2 First Name

Guest 2 Last Name

Guest 2 Email

Relationship

Guest 3 First Name

Guest 3 Last Name

Guest 3 Email

Relationship

Guest 4 First Name

Guest 4 Last Name

Guest 4 Email

Relationship

Guest 5 First Name

Guest 5 Last Name

Guest 5 Email

Relationship

Campaign Source

Campaign Medium

Campaign Name

Campaign Content

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