Open House: Fine Arts & Communication

Student Information

Legal First Name

Preferred First Name

Legal Last Name

Email Address

Birthdate

Mobile Phone

Would you like to receive text messages from Pepperdine?

Yes

Student Address

Permanent Address

Country

Street

City

Region

Postal Code

Student Details

Religious Preference

Are you Hispanic or Latino/a/x?

Yes

Regardless of your answer to the prior question, please indicate how you identify yourself. (You may select one or more.)

Citizenship Type

Country of Citizenship

HIDDEN: US Citizenship

Becoming a Student

Term of Interest or Application

Student Type

First-Year

Transfer

Current/Most Recent High School

If your school does not appear in the list, please type its name in the text box.

Current/Most Recent College or University

If your school does not appear in the list, please type its name in the text box.

Event Information

Number of Additional Guests

Does anyone in your group require special accommodations (e.g. wheelchair)?

Yes

Will you need a wheelchair provided by the University?
Please note: We are unable to provide wheelchair attendants for those who will be using a wheelchair on campus.

Yes

Please describe any additional accommodations requested.

Guest 1

Guest 1 Full Name

Guest 1 Email

Please include this guest on emails about this event.

This guest is an alumni of Pepperdine University

We would love the opportunity to connect them with our Alumni Affairs office. Please provide their information below:

What year(s) did they graduate?

What school(s) did they graduate from?

_________________

Guest 2

Guest 2 Full Name

Guest 2 Email

Please include this guest on emails about this event.

This guest is an alumni of Pepperdine University

We would love the opportunity to connect them with our Alumni Affairs office. Please provide their information below:

What year(s) did they graduate?

What school(s) did they graduate from?

_________________

Guest 3

Guest 3 Full Name

Guest 3 Email

This guest is an alumni of Pepperdine University

We would love the opportunity to connect them with our Alumni Affairs office. Please provide their information below:

What year(s) did they graduate?

What school(s) did they graduate from?

_________________

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