Hanover at a Glance - Spring 2020

Contact Information

First Name*

Middle Name

Last Name*

Preferred First Name*

Basic Information

Birthdate*

Share your pronouns - we'll do our best to use them when addressing you.*

Student Cell Phone Number*

Other Phone Number

Student Email Address*

Student Email Confirmation*

Parent/Guardian 1 Email Address*

Parent/Guardian 2 Email Address

Mailing Address*

Country
Street
City
Region
Postal Code

Academic Information

High School Name*

Graduation Year*

Academic Interest*

Academic Interest 2

Program of Interest*

Event Specific Questions

How many total guests (including registrant) will be attending?* If more than one high school student is attending in this group, please register each student separately (this will ensure each student receives materials).

Does anyone on this visit need special accommodations?*

Yes

No

Please Explain*

Does anyone on this visit have any food restrictions?*

Yes

No

Please Explain*

By submitting this form, I authorize Hanover College the use of my image for use in publications and releases on and off-campus.