Middlesex College New Jersey Campus Tour Request
https://www.middlesexcollege.edu/visit/schedule-a-tour/
Submitter First Name
*
Submitter Last Name
*
Are you the prospective student
Yes
No
Student First Name
Student Last Name
Prospective Student's Date of Birth
*
-
Month
-
Day
Year
Date
How many people will be attending (including yourself)
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
example@example.com
Is this the student's email?
Please Select
Yes
No
Pick a Tour Date
*
Best Contact Number
*
Is this the student's phone number?
Please Select
Yes
No
Would you like a phone call reminder before your tour? Except for Tuesday tours a day prior.
*
Please Select
1) Yes, the week before my tour
2) Yes, the day before my tour
3) Yes, day of the tour
4) Yes, a week before and a day before my tour
5) Yes, a week, and day before and the day of my tour
6) No, I would not like a phone call reminder
To get in contact with you what would you prefer?
*
Please Select
1) Only call
2) Only email
3) Either phone or email
Have you applied to Middlesex College?
Yes
No
What major are you interested in studying?
What semester do you plan to enter?
Fall
Winter
Spring
Summer
Undecided
Which of these describes the student? Please select all that apply
Adult student (18 years old or older)
High school graduate/GED graduate
Current high school senior
Current high school junior, sophomore, or freshman
Transfer student from another college or university
Veteran
Other
How did you hear about Middlesex College?
*
Attended an open house
Camp Middlesex / Summer program
Dual enrolled student/ K-12 Partnerships
Family member
Friend
High school visit or guidance counselor
Social media
Was a prior student
Work
Other
Is there anything else you want to share?
Submit
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