College of Behavioral, Social, and Health Sciences Prospect Meeting Request

Student Contact Information

First Name

Preferred First Name

Last Name

Student Email Address (other than high school email)

Student Phone Number

Attendee Information

Minors must be accompanied by an adult at all times during their visit.

I will not be 18 or older at the time of the meeting.

I will be 18 or older at the time of the meeting.

I would like an additional contact included on emails regarding my meeting.

Yes

No

Accompanying Adult's Relationship to Student

Accompanying Adult First Name

Accompanying Adult Last Name

Accompanying Adult Email Address

Accompanying Adult Phone Number

Student Personal Background

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Sex

Female

Male

Are you Hispanic/Latinx?

Yes

No

Race and Ethnicity (Please check all that apply to you)

Student Academic Information

I am interested in attending Clemson as a:

First-Year

Transfer

What is your high school graduation year?

When are you interested in enrolling at Clemson?

School Name (currently attending or most recent institution)

School CEEB

Have you taken or will you take AP, IB or dual enrollment courses?

Yes

No

Please be prepared to discuss any college credits you will be bringing into Clemson, including course name(s) and institution(s).

Please select one area of academic interest.

Nursing students should email foxwor2@clemson.edu to set up an individualized meeting. Do not move forward with this form submission.

If other, please explain

Program Interests (Please check all that apply to you)

Honors Program

Lyceum Program

Pre-Law Advising Program

Meeting Request

Requested Date
Requests should be made at least 2 weeks in advance and can be submitted no more than 60 days out.

Preferred Meeting Time

Morning

Afternoon

Morning or Afternoon

Are you available for additional dates?

Yes

No

Please list them, including date and preferred time of day

Is your requested meeting in conjunction with a campus tour visit?

Yes

No

Would you like to meet with a faculty member during your visit?
Please note, this is based on faculty availability and we cannot guarantee their presence during your meeting.

Yes

No

Anything else that you would like to share?
This can include questions or topics that you would like to discuss in your meeting, accessiblity needs, etc.

After submitting this form, please monitor your email for next steps on setting up a meeting with a College of Behavioral, Social, and Health Sciences advisor.

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College of Behavioral, Social, and Health Sciences Prospect Meeting Request