* 1. First Name

* 2. Last Name

* 3. Please provide the following information

* 4. Date of Birth (MM/DD/YYYY)

* 5. Lawrence Tech Student Number (see mailing label)

* 6. Gender

* 7. Major

* 8. Do you intend to

* 9. Are you a

* 10. You must take placement assessments before attending Orientation and Registration. If you are a transfer student and are unsure if you have been waived from placement assessment, please call the Office of Admissions at 248.204.3160. If you have not yet registered to take placement assessments, please do so here: http://www.ltu.edu/futurestudents/placement_assessment.asp

Have you

* 11. Choose the date of O&R you plan to attend.

* 12. Assistance is available for students with disabilities. Please indicate if you need assistance.

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