November 14, 2003
ACC to UT Open House
Student Sign-up Form

This form is for students who are signing up to participate in the ACC to UT Open House program on November 14, 2003. Please complete the form and click the "Submit" button. After submitting the form, a sign-up confirmation message will be forwarded to the email address you indicated. For further information, you may also want to review the links listed below:

(If you select one of these topics, click the "Back" button on your browser to return to this sign-up form)

You may sign up for this program via this form until November 12, 2003.

( * = required information)

1. Your name: 
(first) *
(middle)
(last) *
 
(alternate/maiden/other name)
 
2. Your current mailing address:
(street, 1st line) *
(street, 2nd line if needed)
(city) *
(state) *
(zip code) *
 
3. Your current e-mail address:
 
4. Your current telephone number:
 /  - (area code/telephone-number) *
 
5. Which ACC campus are you attending and what is your major there?
*
(major)
 
6. Your choice of major at UT-Austin:
(1st choice) *
(2nd choice)
 
7. To help us prepare for your visit, please list below any information you would like to receive while on the UT campus or any other aspects of the campus you would like to see:

 

By submitting this form, I am indicating my intent to attend the November 14, 2003 UT Austin Open House for ACC students.

 

 

 

22 February 2003
UT Austin or ACC
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