Registration

Contact Information

First Name

Last Name

Email Address

Birthdate

Preferred Phone Number

Cell Phone

Home Phone

What is your current student status?

What high school do you currently attend?

Organization Name (full or partial) In order to search by name, enter at least 3 characters of the name. Country

Would you like to participate in a human anatomy lesson? (Ages 16 and above only.)YesNo

If yes, all attendees must bring a signed copy of the HSEN Assumption of Risk Form.

Those under 18 years of age must have a parent's signature on this form.

Additional Information

What is your desired major?

Please provide a count of any guests (not including yourself.)

Emergency Contact Name (First & Last)

Emergency Contact Phone Number

Do you require any accommodations?YesNo

Please describe the accommodations you need:

Entry Term

When do you plan to enroll at ISU?

Academic Program

Degree types are listed by initials.

BTC-Basic Technical Certificate;
ITC-Intermediate Technical Certificate;
ADTC-Advanced Technical Certificate;
AAS-Associate of Applied Science;
AA-Associate of Arts; AS-Associate of Science;
BA-Bachelor of Arts; BS-Bachelor of Science;
BBA-Bachelor of Business Administration;
Pre-Program- You must apply to the program upon meeting the required pre-requisites.

Registration

2024 Meridian Health Science Experience Night

Contact Information

Additional Information