Campus Visit Reservation Form - October 21st and 22nd

_________________________________________________ Name   (_______) ______-__________ Phone (area code)

____________________________________________________________________________ Address

______________________________________ City   _______________ State/Prov   __________-_______ Zip

________________________________________________ Email   (_______) ______-__________ Cell Phone (area code)

____________________________________________________________________________ High School

________________ Year of High School Graduation

I'd like to visit on this date:

_________________________________

I am unable to attend but please:

have an admissions counselor call me

send me the following information:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

I am interested in the following academic and extra-curricular areas:   ___________________________________________________________________________   ___________________________________________________________________________   ___________________________________________________________________________   ___________________________________________________________________________   ___________________________________________________________________________

Mail to: Office of Admissions, Jamestown College 6081 College Lane Jamestown, ND 58405 (701) 252-3467 ext. 5562        (800) 336-2554