Summer On Campus Conversation

Thursday, January 23, 2025 at 6:00 PM until 7:00 PMCentral Standard Time UTC -06:00

This 30-minute online event is designed for students and families to learn more about the Summer On Campus program through UA Early College

Fill out your information below to register for this event.

Student Information

Student's First Name *

Student's Last Name *

Student's Preferred Name

Student's Date of Birth *

Student's Email Address *

Student's Mobile Phone Number *

May we send your student SMS (text messages)? *

Yes

Mailing Address *

Country

Street

City

Region

Postal Code

STUDENT'S HIGH SCHOOL INFORMATION

Student's High School *

Anticipated date of graduation from high school *
If unsure of the exact date, please use June 1st of your graduation year.

Parent / Guest Information

Salutation (ex. Mr., Mrs., Dr.)

Your First Name *

Your Last Name *

Your Relationship to the Student *

Your Email Address *

Your Mobile Phone Number *