First Name *
Middle Initial
Last Name *
Parent's Email *
Student's E-mail
Address *
City *
State *
- Select - Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip Code *
Cell Phone Number *
Gender *
- Select - Male Female Other
High School
College or University
Grade Level *
- Select - Freshmen Sophomore Junior Senior
Graduation Year *
Interest Area 1 *
- Select - Agribusiness and Applied Economics Agricultural Communication Agricultural Systems Management Agriscience Education Agricultural Technical Institute (Wooster, OH) Animal Sciences Community Leadership Construction Systems Management Culinary Science Entomology Environment, Economy, Development and Sustainability Environmental Policy and Decision Making Environmental Science Food, Agricultural and Biological Engineering Food Business Management Food Science and Technology Forestry, Fisheries, and Wildlife Meat Science Natural Resource Management Plant Health Management Plant Pathology Professional Golf Management Sustainable Plant Systems Undecided; Agricultural Undecided; School of Environment and Natural Resources
Interest Area 2
- None - Agribusiness and Applied Economics Agricultural Communication Agricultural Systems Management Agriscience Education Agricultural Technical Institute (Wooster, OH) Animal Sciences Community Leadership Construction Systems Management Culinary Science Entomology Environment, Economy, Development and Sustainability Environmental Policy and Decision Making Environmental Science Food, Agricultural and Biological Engineering Food Business Management Food Science and Technology Forestry, Fisheries, and Wildlife Meat Science Natural Resource Management Plant Health Management Plant Pathology Professional Golf Management Sustainable Plant Systems Undecided; Agricultural Undecided; School of Environment and Natural Resources
Interest Area 3
- None - Agribusiness and Applied Economics Agricultural Communication Agricultural Systems Management Agriscience Education Agricultural Technical Institute (Wooster, OH) Animal Sciences Community Leadership Construction Systems Management Culinary Science Entomology Environment, Economy, Development and Sustainability Environmental Policy and Decision Making Environmental Science Food, Agricultural and Biological Engineering Food Business Management Food Science and Technology Forestry, Fisheries, and Wildlife Meat Science Natural Resource Management Plant Health Management Plant Pathology Professional Golf Management Sustainable Plant Systems Undecided; Agricultural Undecided; School of Environment and Natural Resources
Other Interest Areas / Special Requests
Guest(s) attending with you (please type N/A if no one will be attending with you)
Guest Name
Guest Relation
- None - Parent Sibling Friend Relative Teacher Other
Guest Name 2
Guest Relation
- None - Parent Sibling Friend Relative Teacher Other
Guest Name 3
Guest Relation
- None - Parent Sibling Friend Relative Teacher Other
Guest Name 4
Guest Relation
- None - Parent Sibling Friend Relative Teacher Other
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