First Name:

Last Name:

Suffix (if any):

Department:

Major:

Campus Location:
Utica
Rome
(Check your invitation carefully. Some program orientations are not available in Rome.)

Day/Date of Oriendation:
/

Assigned Start Time:
9:00 AM
12:30 PM

I will participate in orientation.

If attending, indicate the total number of family members who might accompany you to orientation:

Change of Home Address and/or Phone Information:

Street Address:

City:

State:

Zip:

e-mail:

Telephone Number: (include area code)