Orientation Registration Form - Fall 2008

Thank you for your interest in CSN's Orientation Program.

To attend one of our new student orientation sessions, please register by filling in the information below.

The Orientation staff will reply to your email address with a confirmation of your registration.

Last Name: First Name: Middle Initial:
Date of Birth(MM/DD/YYYY):
Email:
Confirm Email:
Telephone Number:
Please indicate the number of people attending. Space is limited, please no more than 3 individuals including you:
1 person 2 persons 3 persons
Orientation date you will be attending (please select one):
  Orientation Sessions:
   
  Friday, June 27 (2:20 pm check-in, start time 3 pm). Location: Charleston Campus-Bldg D-Room 101
  Friday, July 11 (5:10 pm check-in, start time 5:30 pm). Location: Henderson Campus-Bldg C-Room 133
  Saturday, July 12 (9:40 am check-in, start time 10:00 am). Location: Charleston Campus-Bldg D-Room 101
  Thursday, July 24 (9:40 am check-in, start time 10 am). Location: Cheyenne Campus-Room 1227
  Wednesday, July 30 (2:40 pm check-in, start time 3:00 pm). Location: Henderson Campus-Bldg C-Room 133
  Friday, August 8 (2:40 pm check-in, start time 3:00 pm). Location: Cheyenne Campus-Room 1227
  Thursday, August 14 (9:40 am check-in, start time 10:00 am). Location: Charleston Campus-Bldg D-Room 101
  Wednesday, August 20 (2:40 pm check-in, start time 3 pm). Location: Cheyenne Campus-Room 1227
  Tuesday, August 26 (5:10 pm check-in, start time 5:30 pm). Location: Charleston CampusBldg K-Room 101
Program lasts 2 hours including an optional half hour campus tour
The following information about you, although optional, will help us better assist you. Thank you.
  Yes No   Yes No
Have you completed the Students First online admissions form?
 
Physical or Learning Disability Did you apply for Financial Aid
Health Problems Do you have additional Financial Needs
High School Graduate Do you have Transportation Issues
GED Do you have Unemployment Issues
Returning Non-Traditional Student Do you have Child Care Issues
English as a Second Language
 
Did either of your parents earned a degree from a four-year college?
 
Your Ethnicity: Black Hispanic/Latino< Native American/Alaskan
  White Pacific Islander Asian Other
If you have questions regarding the orientation program, or if you need to change your reservation,
please contact Angel at 651-3103