Build Your Bright Future

Saturday, October 22, 2022 at 8:30 AM until 2:30 PMEastern Daylight Time

Charles B. Degenstein Campus Center
Susquehanna University
Selinsgrove, PA 17870
United States

Student Information

Student's First Name *

Student's Preferred Name

Student's Last Name *

Student's Birthdate *

Mailing Address *

Country

Street

City

Region

Postal Code

Email Address *

Home Phone

Cell Phone *

Academic Information

Current School *

I am a prospective *

College Entry Year *

Intended Major

Parent/Guardian Information

Relationship*

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian E-mail Address *

Visit Information

Number of Guests (not including the student)*

Special Accommodations (Food Allergies, Accessibility, etc)