February Open House

*Required

Student's First Name*

Preferred or Affirming Name (e.g. Jon for Jonathan)

(The name placed here will be used in print and digital communications, including those sent to parents/guardians.)

Middle Name

Last Name*

Birthdate*

Sex*

Female

Male

X or another legal sex

Gender

Female

Male

Nonbinary

Add another gender

If you would like the opportunity, we invite you to share more about your gender identity:

If you would like your pronouns to appear on your printed name tag at open house, please provide them below. (If you would not like your pronouns to appear on your printed name tag, please skip this question.)

He/Him

She/Her

They/Them

Add another pronoun set

Your pronouns:

Permanent Address*

Country

Street

City

Region

Postal Code

Is your Mailing Address the same as your Permanent Address?*

Yes

No

Mailing Address*

Country

Street

City

Region

Postal Code

Student Home Phone

Student Mobile Phone

I give permission to be contacted by or on behalf of Bucknell via Mobile Phone, which may include phone calls or text messaging with or without the use of AI.

Student's Email Address*

Confirm Email Address*

Parent Email Address*

Student's High School *

High School CEEB Code

Expected High School Graduation Year*

Primary Academic Interest*

Secondary Academic Interest (if applicable)

Community Based Organizations are those that support high school students through the college process. Typically these programs provide college application support, essay writing, or even take students on campus tours to visit colleges. Community Based Organizations are an important network that often provide support for students who have been historically underrepresented at colleges and universities or may be the first in their family to attend college.

Are you currently working with a Community-Based Organization as you research and prepare your college options?

Yes

No

If yes, which one(s)? (Note you can hold Control and click to select multiple)

What is the name of your CBO?

How many people will attend (including student)*

Please indicate if you or a family member may need special assistance.

February Open House

Want to learn more about Bucknell?