NJIT - Center for Pre-College Programs:  1st Virtual Open House for Middle and High School Students and Parents, Saturday, January 16, 2021 Registration Form
Kindly complete the Registration Form below for the Center for Pre-College Programs at New Jersey Institute of Technology's Virtual Open House for Middle and High School Students and Parents held virtually Saturday, January 16, 2021 from 10:00 a.m. - 11:00 a.m. (followed by an optional virtual tour of the NJIT campus).
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Email *
Center for Pre-College Programs
Inspiring Young Minds for College Access and Success in Science, Technology, Engineering and Mathematics (STEM)
Attendee:  Parent/Guardian 1 Salutation *
Required
Attendee:  Parent/Guardian 1 First Name *
Attendee:  Parent/Guardian 1 Last Name *
Attendee:  Parent/Guardian 2 Salutation
Attendee:  Parent/Guardian 2 First Name
Attendee:  Parent/Guardian 2 Last Name
Attendee: Child 1 Name, School Name, Grade Level *
Attendee: Child 2 Name, School Name, Grade Level
Attendee: Child 3 Name, School Name, Grade Level
Home Street Address *
Home City, State *
Zip Code *
Home Phone Number, including Area Code *
Additional Email Address
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