2012–13 Campus Visit Registration Form
PLEASE NOTE: Once you have completed the online registration form, detailed confirmation materials will be mailed to you the week prior to the event. Please call 800.87.MILLS if you would prefer to register by phone.
Please select one visit day.
| (Bold denotes required field) | |
| First Name: | |
| Last Name: | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Country: | |
| Telephone: | |
| Email Address: | |
| Re-enter email Address: | |
| Birthdate: | |
| Current or last school attended: | |
| City and State of School: | |
| High school graduation date: | |
| Possible start term at Mills: | Academic Interest(s): |
| Sport(s): | |
| Will any parents or guests attend? | Yes No |
| How many? (limit 2) |
| OVERNIGHT PROGRAMS (Complete this section ONLY if you selected the Scholars in Action Overnight Program for Admitted Students above.) |
| Will you stay overnight in the residence halls? Yes No | |
| Will you attend the Luncheon on the 2nd day? Yes No |
| Will the guests attend the Luncheon on the 2nd day? Yes No | |||
| How many? | |||
All visits must be confirmed by the Office of Undergraduate Admission. We will email a confirmation or call you to finalize the details of your visit one week prior to the event.
Thank you!

