UW-Milwaukee: Preview Days Form

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Key Information

Student Life

Visit UWM

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Info Nights

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Preview Days

Request Information

UWM Preview Days

* Type of registration:

* I am interested in attending the following date:

First Name:

Middle Initial:

Last Name:

* Date of Birth:

(01/01/2007)

* Gender:

* Street Address:

* Address line 2:

* City:

* State:

* Zip:

* Phone:

(123-456-7890)

* E-mail:

High School Attending:

* Graduation Year:

* Intended Major at UWM:

Optional tours are available before or after the event. 

**12:00 p.m. campus tour, no break for lunch after the event
**after you take a break for lunch, 1:15 p.m. campus tour

Choose a tour preference:

tour time will be removed from list if capacity is reached

* Total number of guests attending:

Not including the student

* Special accommodations needed?:

Yes

Please indicate special accommodations:

(i.e. wheelchair accessibility, interpreter, etc.)

Race / Ethnicity:

African-American or Black

American Indian or Alaskan Native (please specify tribal affiliation below)

Hawaiian or Pacific Islander

Cambodian

Hmong

Laotian

Vietnamese

Other Asian

Mexican or Mexican American or Chicano

Puerto Rican

Cuban

Other Hispanic or Latino

White or Caucasian

Other (please specify below)

I choose not to respond

tribal affiliation / other ethnicity:

If you checked off American Indian or Alaskan Native or Other above, please specify here