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Visit Registration - Personalized DRAFT

Date Information - Personalized

Your requested visit is during what section of our open dates: *

Date of Visit: *

Your visit request must be during a date listed in the above question. Personalized visits are available Monday-Thursday, 8:30a-5:30p and Friday, 8:30a-12:00p. A typical personalized visit lasts approximately 4 hours. We are not able to accommodate visit meetings or tours on Friday afternoon, Saturday or Sunday. If none of the open dates work for you, please call us before submitting a request. 402.486.2504

What type of personalized visit would you like? *

Day visit
Overnight Visit

Date of Arrival *

Date of Departure: *

Does AM or PM work better for you? *

AM (approximately 8:30a-1:00p)
PM (approximately 1:00p-5:30p)
Both work for me

Student Information - Personalized

Student First Name: *

Student Last Name: *

Gender: *

Female
Male

Mailing Address: *

City: *

State: *

Zip Code *

Student Email Address: *

We will be communicating your schedule, lodging, and transportation information via email so please provide an email you check regularly.

Confirm Student Email Address: *

We will be communicating your schedule, lodging, and transportation information via email so please provide an email you check regularly.

Student Cell Phone: *

Academic Information - Personalized

Class Standing for the 2019-2020 school year? *

Most recently attended or current high school/academy: *

Most recently attended or current college/university: *

Degree achieved: *

When would you begin classes at Union College? *

Do you want to take the ACT test during your visit? *

Yes
No

The ACT test is optional, given in a 4 hour period and has a $50 cost. RESULTS ARE ONLY VALID AT UNION COLLEGE.

Choose your first major/minor preference: *

(OPTIONAL) Choose your second major/minor preference:

(OPTIONAL) Choose your third major/minor preference:

If your top two majors were not listed above, please write them here:

Are you interested in exploring any of the following extra-curricular activities: (based on advisor availability)

We will do our best to accommodate your request to visit with an advisor. However please keep in mind that not all requests can be met as it often depends on their availability on the day of your visit. In addition, adding extra-curricular meetings to your schedule will, in most cases, extend the length of your visit past the 4 hour estimate.

Guest Information - Personalized

I will be visiting Union... *

by myself.
with 1 parent or sponsor.
with 2 or more parents or sponsors

If you are attending with other prospective Union students, please do not list them here. Each student will need to individually register.

Attending Parent or Sponsor's name: *

Attending Parent or Sponsor's cell phone: *

Attending Parent or Sponsor's email: *

Please list all attending additional guests other than the parent/sponsor listed above. *

Please include guests' first and last name and their relation to the attending student.

Do you or your guests have food allergies or dietary needs we should be aware of:

I.E. Vegan, lactose intolerant, gluten free. Please note Union Market only serves vegetarian meals.

Travel & Lodging Information - Personalized

Will you need shuttle transportation to/from campus? *

No, I am driving myself to campus
Yes, I will need transportation to/from the airport
Yes, I will need transportation to/from the bus station
Yes, I will need transportation to/from the train station
Maybe, but I'm not sure about my travel plans yet

Shuttle transportation is available to/from the Lincoln or Omaha airport, bus or train station. An itinerary will be needed at least 5 days prior to your arrival.

Have you already purchased your tickets? *

Yes
No

Will you need on campus lodging for your visit? *

Yes, my guests and/or I will need lodging
No, my guests and/or I have made other arrangements off campus

During the school year, students will stay in our residence halls with current Union students. Sponsors or family members and students during the summer will stay in the Ortner Center; if on-campus lodging is not available during your visit, arrangements will be made at a local hotel. Two nights of lodging is provided for a prospective student and 2 family members.

In order to be covered, reservations need to be made through Enrollment Services. You are welcome to stay extra nights at Union, but you may be responsible for any additional costs.

If you are a student visiting during the school year, can you bring a sleeping bag and pillow for your stay? *

Yes
No
Not applicable - summer visit/day visit

Would you like to request a specific current student to stay with? (Based on student's availability - not applicable for summer visits)

Any additional arrangements or comments we should be aware of?

Emergency Contact - Personalized

Are you 19 years old or older? *

Yes
No

Name of Emergency Contact: *

Emergency Contact phone number: *

Waiver/Release Information under 19

I understand and agree that I am responsible for arranging my child's own health, accident, and liability insurance, and that no such insurance is provided by Union College.

I hereby authorize the employees and/or agents of Union College, at their sole discretion, to secure such medical advice and/or services as may be deemed necessary for my child's health and safety, and I agree to accept full financial responsibility for such advice or services.

Release and indemnification: On my behalf and on behalf of my child, and each of my and my child's heirs, executors, and administrators, and in exchange for and in consideration of Union College permitting my child to participate in this campus visit and related activities, I hereby assume all the risks of injury associated with this campus visit and related activities and agree to release, hold harmless, and indemnify Union College, their affiliates, and their respective officers, directors, employees, agents, successors, and assigns, and each of them (collectively the "releasees”) from any and all liability, actions, causes of action, negligence, claims or demands of any nature whatsoever that may arise by or in connection with my participation in this campus visit and related activities.

In signing this release, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agrees, understand it, and sign it voluntarily by my own free act and deed; and that i am at least nineteen (19) years of age and fully competent to execute this agreement.

Signature of Parent/Legal Guardian here: *

Date here: *

Waiver/Release Information 19+

I understand and agree that I am responsible for arranging my own health, accident, and liability insurance, and that no such insurance is provided by Union College.

I hereby authorize the employees and/or agents of Union College, at their sole discretion, to secure such medical advice and/or services as may be deemed necessary for my health and safety, and I agree to accept full financial responsibility for such advice or services.

Release and indemnification: For myself and all those who may claim through me or in my place, and in exchange for and in consideration of Union College permitting me to participate in this campus visit and related activities, I hereby assume all the risks of injury associated with this campus visit and related activities and agree to release, hold harmless, and indemnify Union College, their affiliates, and their respective officers, directors, employees, agents, successors, and assigns, and each of them (collectively the "releasees”) from any and all liability, actions, causes of action, negligence, claims or demands of any nature whatsoever that may arise by or in connection with my participation in this campus visit and related activities.

In signing this release, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agrees, understand it, and sign it voluntarily by my own free act and deed; and that i am at least nineteen (19) years of age and fully competent to execute this agreement.

Visit Registration - Personalized DRAFT

Date Information - Personalized

Your requested visit is during what section of our open dates: *

Date of Visit: *

What type of personalized visit would you like? *

Date of Arrival *

Date of Departure: *

Does AM or PM work better for you? *

Student Information - Personalized

Student First Name: *

Student Last Name: *

Gender: *

Mailing Address: *

City: *

State: *

Zip Code *

Student Email Address: *

Confirm Student Email Address: *

Student Cell Phone: *

Academic Information - Personalized

Class Standing for the 2019-2020 school year? *

Most recently attended or current high school/academy: *

Most recently attended or current college/university: *

Degree achieved: *

When would you begin classes at Union College? *

Do you want to take the ACT test during your visit? *

Choose your first major/minor preference: *

(OPTIONAL) Choose your second major/minor preference:

(OPTIONAL) Choose your third major/minor preference:

If your top two majors were not listed above, please write them here:

Are you interested in exploring any of the following extra-curricular activities: (based on advisor availability)

Guest Information - Personalized

I will be visiting Union... *

Attending Parent or Sponsor's name: *

Attending Parent or Sponsor's cell phone: *

Attending Parent or Sponsor's email: *

Please list all attending additional guests other than the parent/sponsor listed above. *

Do you or your guests have food allergies or dietary needs we should be aware of:

Travel & Lodging Information - Personalized

Will you need shuttle transportation to/from campus? *

Have you already purchased your tickets? *

Will you need on campus lodging for your visit? *

If you are a student visiting during the school year, can you bring a sleeping bag and pillow for your stay? *

Would you like to request a specific current student to stay with? (Based on student's availability - not applicable for summer visits)

Any additional arrangements or comments we should be aware of?

Emergency Contact - Personalized

Are you 19 years old or older? *

Name of Emergency Contact: *

Emergency Contact phone number: *

Waiver/Release Information under 19

Signature of Parent/Legal Guardian here: *

Date here: *

Waiver/Release Information 19+

Sign here: *

Date here: *