Pre-College Programs Fair

Select your visitor type:

Registration Details

How many guests will be attending (not including the prospective student)?

Do you have an accessibility need?

Yes

No

Student Details

First Name

Preferred Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Parent/Guardian Contact Information

While students are the primary point of communication, we encourage you to enter contact information for parents or guardians you'd like to receive communications from Northeastern Undergraduate Admissions. This information may be updated at any time.

Relationship to Student 1

Parent/Guardian First Name 1

Parent/Guardian Last Name 1

Parent/Guardian Email 1

Relationship to Student 2

Parent/Guardian First Name 2

Parent/Guardian Last Name 2

Parent/Guardian Email 2

School Administrator Details

Please select the option that best describes you:

Public School/College Counselor

Private/Independent School/College Counselor

Access/Community-Based Organization Counselor

Independent Education Counselor

Other

Other Organization Type:

Counselor First Name

Counselor Last Name

Counselor Email

Title

School/ Organization

Submission Authorization

By submitting this form with my contact information so that Northeastern University and its representatives may contact me by email, mail, phone or text, with information about educational opportunities and programs. In an effort to improve its outreach processes, Northeastern or its representatives may also contact me to ask me to participate in surveys about my experience. I understand that I will be able to withdraw this consent at any time. By completing this form you are consenting to receive future digital and print communications from Northeastern University. Please contact admissions@northeastern.edu to unsubscribe at any time.