1. Required Information

* 1. Select the Open House you plan to attend:

* 2. Please provide the student's contact information:

* 3. Please provide the student's e-mail address. REQUIRED. Additional information will be sent via email within 7-10 days.

* 4. Please re-enter your e-mail address.

* 5. How many guests will attend the Open House with the student?

* 6. Would the student like to be added to the Pre-Pharmacy listserv to receive emails about upcoming UK COP events and admissions reminders?

7. Is the student Hispanic or Latino?
*A Hispanic or Latino person is Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

8. If not Hispanic or Latino, what is the student's race? (If more than one select other and specify)

9. School student is now attending:

10. Grade Level:

11. High School GPA:

12. ACT Score:

13. SAT Score:

14. How I found out about the open house:
(Check all that apply)

15. If you plan to attend the optional campus tour at 12:55pm, how many participants will be included in your group?

An e-mail with complete details will be sent to you within 7-10 days. Confirmation of registration will show after submitting this form.