Fall Preview Open House Registration Survey

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1. Please enter the following information (if more than one student is attending, please complete a separate booking for each student)

Please enter the following information (if more than one student is attending, please complete a separate booking for each student) Student First Name:
Student Last Name:
Student Address:
Address 2:
City/Town:
Prov/State:
Postal Code/Zip Code:
Country:
Email Address:
Phone Number:

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2. Current Grade/Level


Grade	Current Grade/Level Grade

Other (please specify)

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3. Please let us know if you will be attending the Fall Preview Open House on Saturday October 27 or Saturday November 10, 2012.
The program format will be the same on both days

Please let us know if you will be attending the Fall Preview Open House on Saturday October 27 or Saturday November 10, 2012. The program format will be the same on both days Saturday October 27, 2012

Saturday November 10, 2012

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4. We are looking forward to welcoming you to our campus. We are expecting a high volume of visitors this year, and would appreciate it if you would register for a campus tour (all tours are the same):

We are looking forward to welcoming you to our campus. We are expecting a high volume of visitors this year, and would appreciate it if you would register for a campus tour (all tours are the same): 8:30 am

9:15 am

10:00 am

10:45 am

11:30 am

12:15 pm

1:00 pm

1:45 pm

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5. How many guest will you be bringing to the Open House? Please do not include the student in this number.

How many guest will you be bringing to the Open House? Please do not include the student in this number. Number of Guests:

6. Which program(s) at Queen's interest you? Choose up to three.


Programs:	Which program(s) at Queen's interest you? Choose up to three. Programs:

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7. Please indicate if you are interested in attending the November 10th information session for American Applicants?

Please indicate if you are interested in attending the November 10th information session for American Applicants? Yes (please indicate below where in the United States you are from)

No

Country of Citizenship.

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8. Please indicate if you are interested in attending the October 27th information session for International Students.

Please indicate if you are interested in attending the October 27th information session for International Students. Yes, Please indicate Citizenship in the box below.

No

Country of Citizenship.

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9. Are you interested in Queen’s University Aboriginal Student Services and Programs?

Are you interested in Queen’s University Aboriginal Student Services and Programs? Yes

No

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10. Application Status


Have you applied to Queen's?	Application Status Have you applied to Queen's?

OUAC Reference Number or Queen's Student Number (if applicable)

11. Offer of Admission


Do you have an offer of admission to Queen's?	Offer of Admission Do you have an offer of admission to Queen's?

12. We welcome persons with disabilities or other special needs. Please let us know how we can serve you best.

We welcome persons with disabilities or other special needs. Please let us know how we can serve you best.