Summer Daily Visit

High School Student or Transfer

Expected Bradley Entry Term

*Student's First Name

Preferred Name

*Last Name

Gender

*Birthdate

*Student's Email Address (Visit confirmation will be sent to this address)

*Home Phone

*Cell Phone Number

*Mailing Address

Country

Street

City

Region

Postal Code

*Preferred Major

Would you like to meet with a faculty member to discuss your major?
**A one-week notice is required and your arrival time must be no later than 1:00pm.
** Faculty appointments are not available May-August

Yes

No

*Number of Guests Attending (Not Including the Student)

Parent Information

Parent 1 Relationship

Parent 1 First Name

Parent 1 Last Name

Parent 1 E-Mail

Parent 1 - Are you a Bradley Alum

Parent 2 Relationship

Parent 2 First Name

Parent 2 Last Name

Parent 2 E-Mail

Parent 2 - Are you a Bradley Alum