Information Session & Campus Tour

Instructions

Please fill out the form below to register for this campus visit event.

Please note, an asterisk(*) denotes a required question.

I will be visiting as a*

Student

Parent or Guardian

First Name*

Last Name*

Student First Name*

Student Last Name*

Pronouns

Parent/Guardian First Name

Parent/Guardian Last Name

Email Address*

Student Email Address (required)

Parent Email Address

My current high school is:

Mobile Phone

Would you like to receive text messages at this number?

Yes

No

Birthdate*

Student Birthdate*

I will attend as a*:

Freshman

Transfer

My student will attend as a*:

Freshman

Transfer

My current or most recent college is:

My student's current high school is:

My student's current or most recent college is:

CEEB Code

What is your intended academic program?

What is the student's intended academic program?

Looks like you're interested in our Nursing program. We're hosting a series of special Nursing Days, including tours of our facilities! If you'd like to visit on one of those days instead, please click here for that registration form.

Would you be interested in scheduling a visit with a faculty representative in the intended academic program you indicated above? If so, check "yes" and someone will reach out to you before your visit to coordinate a time before or after your tour to meet. (We typically require at least three business days to coordinate academic visits and is based on faculty availability.) Please note: a faculty member will be reaching out to you through the email you provided to set up an appointment. Please be sure to check your email regularly for this communication.

Yes

No

What semester are you looking to start at Brockport?

What semester is the student planning to start at Brockport?*

Mailing Address*

Country

Street

City

Region

Postal Code

Please select the number of people in your party, including yourself*:

SUNY Brockport is fully committed to providing accessible environments to all. If any guests need mobility-related or disability-related accommodations, please detail them below. Please allow a minimum of 3 business days for requests to be fulfilled, with a minimum of 1 week for sign language interpreters: