Polar Preview Day

Are you a current High School Student or Transfer Student?

Student Information

Student First Name

Student Preferred First Name

Student Last Name

Student Birthdate

Gender

Female

Male

Student Email Address (Please avoid using a high school issued email address)

*We noticed you may be using an email address assigned to you by your school. Please update your email address to a personal account.

Student Cell Phone Number

Is it okay to send text reminders about your visit?

Yes

No

By submitting this consent [or by checking "yes"], you are providing your express written consent that Ohio Northern University may, directly or through third-parties acting on its behalf, send marketing information regarding Ohio Northern University and your continuing education, including texts, e-mail, and calls made using an automated dialing system to the number and email address that you provided above. Providing this consent is not required to obtain any good or service.

Student Mailing Address

Country

Street

City

Region

Postal Code

Student Academic Information

What year do you plan to start?

What major are you most interested in?

Are you also interested in a Pre-Professional academic program (e.g. Pre-Medicine, Pre-Law)?

What Pre-Professional academic program are in you interested in?

Parent Information

Relationship Type

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Cell Phone Number

Is it okay to send text reminders about your visit?

Yes

No

By submitting this consent [or by checking "yes"], you are providing your express written consent that Ohio Northern University may, directly or through third-parties acting on its behalf, send marketing information regarding Ohio Northern University and your continuing education, including texts, e-mail, and calls made using an automated dialing system to the number and email address that you provided above. Providing this consent is not required to obtain any good or service.

Would you like to provide a second parent/guardian's information?

Relationship Type #2

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Email Address

Parent/Guardian #2 Cell Phone Number

Is it okay to send text reminders about your visit?

Yes

No

By submitting this consent [or by checking "yes"], you are providing your express written consent that Ohio Northern University may, directly or through third-parties acting on its behalf, send marketing information regarding Ohio Northern University and your continuing education, including texts, e-mail, and calls made using an automated dialing system to the number and email address that you provided above. Providing this consent is not required to obtain any good or service.

Other

Do you or any of your guests have any dietary restrictions? If so, please share them below: