Eastman Experience Day

Student's Information

First Name

Nickname/Preferred Name (if different)

Last Name

Birthdate

Total number of attendees in your group

Contact Info

Email

Student's Email Address

Parent email address (optional)

Mailing Address

Country

Street

City

Region

Postal Code

May we communicate with you occasionally by text message?

Yes

No

Mobile Phone

Program Interest

When do you wish to enroll?

Will you be an Undergraduate Freshman or Transfer applicant? (Note: This event is for prospective undergraduates only.)

Intended major(s)

Primary Instrument

Are you interested in the University of Rochester's Dual Degree program offered jointly by Eastman and the School of Arts & Sciences?

Yes

No