John F. Kennedy High School College Fair

* This field is required

* First Name

Preferred Name

* Last Name

* Date of Birth

Contact/Address Information

* Mailing Address

Country

Street

City

Region

Postal Code

* Email Address

* I would like to receive SMS messages to the phone number provided

Yes

No

* Mobile Phone Number

Parent/Guardian Information

* Would you like to include your parent/guardian's information?

Yes

No

Parent/Guardian Type

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Phone Number

School Information

* Current/Most Recent School

School CEEB Code

* Graduation Date or Last Date Attended (Month and Year)

Academic/Extracurricular Information

* I will be an incoming...

* What academic programs are you interested in?

* What semester do you plan to enroll in?

Are you interested in playing a sport at the NCAA DIII level?

Yes

No

Which sport programs are you interested in?

Please list any extracurricular activities you would like more information about (Clubs, Performing Arts, Work Opportunities, etc.)

I would like to learn more information about Mitchell's Living and Learning Support programs for students with a diagnosed learning difference.

Yes

No