Blinn College
Blinn College Preview Day 2013 Registration Form

* Required Field

* Please choose a date   

* First Name    * Last Name 

Blinn ID Number (if applicable)      

* Address     

* City    * State      * Zip   

* Email 

* Verify Email 

* Telephone Number (please include area code)   

* Date of Birth  

* High School  

* High School Graduation Year  

* Ethnicity  

* Are you a First Generation College Student?

* Are you a First Time College Student?

Number of guests: (Guests are limited to two parents only.) 

Guest 1 (if applicable) First Name Last Name

Guest 2 (if applicable) First Name Last Name

What is Your College Major of Choice?

How did you hear about Preview Day?

 Please explain other.

* Required Field