Campus Tours Registration Form

Date of Birth (mm/dd/yyyy)

Gender

Student type



Entering

Number of guests including the student

First Name

Middle Initial

Last Name

Permanent Address

   

City

State/Province

Zip

Country

Telephone

Cell Phone

Email Address

Parent Email (if applicable)

Academics

Major of Interest

Current School

Graduation date (mm/yyyy)

Race/Ethnicity (optional)

1) Are you Hispanic or Latino?



2) Do you identify yourself as (choose all that apply)?







UMass Lowell North Tour Session, (Engineering, Business, Sciences):

Please double check your selected tour date before submitting your request

UMass Lowell South Tour Session, (Humanities, Art, Social Sciences, Music, Health Professions):

Please double check your selected tour date before submitting your request

UMass Lowell East Tour Session, (Humanities, Art, Social Sciences, Music, Health Professions):

Please double check your selected tour date before submitting your request