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University of Nebraska–Lincoln

Advanced Scholars

Online College Courses for High School Students

Advanced Scholars: The University Experience Registration Form

Required fields marked with a red asterisk *.
Attendee Information
First Name*:  MI:   Last Name*:
Gender: Male Female

Title (for school staff):  
Name Of High School*:  
   
Address 1*:  
Address 2:
City*:
State*:
Zip*:
Phone:
E-mail*:
   
Student Information
Name Of High School*:
Year of Graduation:
   
Who will be Attending: Student
Parent
Counselor
Other

Parent Name(s):  
ACT Score:  
Student Interests
Academic Interests
Accomodations
Number Attending*:  

Special Accomodations:
 
Please Check all Activities You Plan to Attend*:
Morning Sessions
Lunch
Afternoon Sessions