Campus Visit Registration

Name Name * First Last
Email *
Cell Phone Number *
I would like to visit campus on *

I would like to visit campus on Monday, January 20, 2020 Friday, February 21, 2020 Friday, March 20, 2020 Friday, April 17, 2020 Set up an individual visit (Enter requested date below)
I am a *

I am a First-time Freshman Transfer Student
High School Graduation Year *
My parents will accompany me *

My parents will accompany me Yes No
Name of parent(s) attending
Would you like to stay overnight?
(if yes, an Admissions Counselor will contact you regarding details)

Would you like to stay overnight?
(if yes, an Admissions Counselor will contact you regarding details)
Yes No
Extra-Curricular Interest/Athletics
The Academic Program that I am MOST interested in exploring is: *

The Academic Program that I am MOST interested in exploring is: Business, Economics, and Entrepreneurship (BEE) Biblical and Theological Studies (BTS) Education (EDU) Health and Life Sciences (HLS) English and Communication (ENC) Media, Culture, and the Arts (MCA) Philosophy, Politics, and History (PPH) Psychology (PSY) Undecided
Please list any known allergies that we should be aware of:
PLEASE FILL OUT THE INFORMATION BELOW FOR
OVERNIGHT GUESTS ONLY

Waiver Form

All overnight visitors to Providence must sign the waiver. If under 18 years of age, a parent or guardian signature is required.
Your Name
Your Signature: (draw your signature into the box below)

Draw or Type

Clear

Full Name
Date Date / MM / DD YYYY
Name of parent or guardian (if student is under 18 years of age)
Parent signature: (draw your signature into the box below)

Draw or Type

Clear

Full Name

Campus Visit Registration

Campus Visit Registration

PLEASE FILL OUT THE INFORMATION BELOW FOR OVERNIGHT GUESTS ONLY Waiver Form

PLEASE FILL OUT THE INFORMATION BELOW FOR
OVERNIGHT GUESTS ONLY

Waiver Form