Nursing Clinicals Preview

Date: Date of Birth:
Name:
Address:
Student Contact Information:

High School: College Entry Term: Parent Attended OBU:

 
Intended Major:
Major 1:
Major 2:
 
Interested In:
Music Interest:
Sports Interest:

How many will be attending (including yourself)?   
Please make sure you have answered all fields. Confirmation will be sent to the student email above.