Personal Information
Name:
9 Digit Student Identification Number (not social security number , no dashes):
OR
Date of Birth (mm/dd/yy):
Daytime Phone:
Email Address (very important! ):
College in which you plan on completing degree:
Business (includes pre-business) Elementary Education (major in Biology, English, Geography, History, Spanish ) Secondary Education (major in Biology, Chemistry, English, History, Physics, Spanish, Math ) Engineering & Applied Sciences (includes pre-engineering) Letters, Arts & Sciences (many majors including undecided students and the pre-medical fields such as pre-medicine, pre-dentistry, pre-veterinary, pre-pharmacy, pre-physician's assistant, and pre-physical therapy)
Public Affairs
(Criminal Justice majors)
Health Sciences (includes Nutrition, Sports Health & Wellness, Forensic Science, Allied Health, Emergency Health) Nursing
(includes pre-nursing)
Major, if you have decided:
Dates & Fees
Please indicate your top two preferences for orientation dates by placing a "1" for your first choice and a "2" for your second choice. We will confirm your date via email or phone.
*Please arrive 30 minutes before your session.
Saturday, November 14, 2009 2:00 p.m. to 5:00 p.m.
Wednesday, November 18, 2009 4:00 p.m. to 7:00 p.m.
Wednesday, December 9, 2009 9:00 a.m. to noon
Wednesday, January 6, 2010 4:00 p.m. to 7:00 p.m.
Friday,
January 8, 2010 2:00 p.m. to 5:00 p.m.
Wednesday, January 13, 2010 9:00 a.m. to noon
Orientation Fees
$20.00 Orientation Fee for each student Number of Guests (not including yourself) :
Please send the correct amount payable to "UCCS Orientation" by check or money order to:
Student Success Center University of Colorado at Colorado Springs
1420 Austin Bluffs Parkway
Colorado Springs, CO 80918-3733 RE: Orientation
If you need special accommodations at orientation, please contact our Disability Services Office (719-255-3354).
You will receive an email confirmation within one week of submitting this reservation form. If you do not receive an email confirmation within one week, please call 800-990-UCCS, ext. 3271.