Sign up for an Engineering Tour

Your Tour Date

You are signing up for the tour on January 24, 2013 at 3:00pm. If you would prefer a different day, view the current tour calendar.

First Name: *

Middle Initial:

Last Name: *

Street Address: *

Your Street Address

Address Line 2:

City: *

State/Province: *

Zip/Postal Code: *

Home Phone Number: *

With area code, as in: (555)-555-1234

E-mail Address: *

Number of people attending: *

Please estimate to the best of your ability.

Current Year in School: * High School FreshmanHigh School SophmoreHigh School JuniorHigh School SeniorCollege FreshmanCollege SophmoreOther

Please choose one.

Current School: *

Do you attend school in Michigan?: *

Yes

No

Ethnicity: * American Indian/Alaskan NativeAsian American/Pacific IslanderBlack (Non Hispanic)Hispanic (regardless of race)White (Non Hispanic)Prefer not to indicate

Please choose your ethnicity.

Special Needs:

Do you have any special needs relating to your tour?

GPA:

Please enter your Grade Point Average (GPA).

Estimated Class Ranking in percentile:

Such as "83rd percentile"

ACT Test Date:

1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

JanFebMarAprMayJunJulAugSepOctNovDec

12345678910111213141516171819202122232425262728293031

If you have not taken the ACT, but have a date scheduled, enter that.

ACT Composite Score:

ACT Math Score:

SAT Writing Score:

SAT Math Score:

Intended Major: * No PreferenceApplied Engineering SciencesBiosystems EngineeringChemical EngineeringCivil EngineeringComputer EngineeringComputer ScienceElectrical EngineeringMaterial Science and EngineeringMechanical Engineering

If you do not have a preference, please choose "no preference".