MICA Open House Registration (Scholarship Finalists)

* = required field

Registration Information

Please let us know how many are planning to attend.

Do you plan to attend MICA Open House? *

Yes

No

The total number attending (including myself) *

Student Name *

First

Last

MICA ID Number *

Year of High School Graduation *

Prospective Major *

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Cell Phone *

###

####

Email Address *

Please let us know the number and type of brunch we should prepare for you and your guests. All brunch options are gluten-free.

Regular Brunch *

Vegetarian Brunch *

Vegan Brunch *

A campus tour will be offered at 2:30pm.

Would you like to attend a campus tour? *

Yes

No

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