goCSUPueblo Callout

Individual Tour Registration Form

Complete this form and click "Submit." Questions, call 719.549.2418.

Items indicated with the > are required fields.

> Preferred Visit Date:

> Preferred Visit Time:

> Have you been accepted for admission?

Yes    No 
> Would you like to meet with an Admissions or Transfer Counselor?

Yes    No 
> Would you like to meet with a Professor or Advisor in your academic area of interest?

Yes    No 
Majors or Programs I'm Considering:

> If your preferred major is not available, would you like to meet with another department?

Yes    No 
What is your second choice of major?

> I am a:

> First Name:
  Middle initial:
> Last Name:
> Street Address: 
> City:
> State/Province/Territory:
> Zip Code:
> Phone Number:   XXX-XXX-XXXX
> Date of Birth: 
> Email Address: 
Name of High School/College:

HS Graduation Year:

Your interest level in CSU-Pueblo:

Total number of people attending visit:

Please indicate if you require any special accommodations (Wheelchair, interpreter,etc):