**to be completed by each attendee**

Event Details:

35th Annual High School Day

Friday, April 5, 2013
Hosted by: Hampton University, Office of Admission
Hampton, VA 23668

*Indicates fields that are required for form submittal.
 Mr.     Ms.     Mrs.     Dr.      Other
*Last Name:
 *First Name:
 MI:
  
Organization:
 Office Phone # (xxx)xxx-xxxx:
(   ) 		 
*Street Address:
 *City:
  
*State:
 *Zip:
  
*Email:
 *Name of High School:
Classification:
 *Number of Students Attending:
*Total Number in Party:
 Major of Interest:
 
*Are you a High School Counselor?
 Yes    No
Name of School:
 City:
 State:
  
 
*Have you been accepted to Hampton University?
 Yes    No  
*If so, have you committed to Hampton University by paying the $600 deposit?  
 Yes    No  

Quick Fact:

Booker T. Washington, founder of Tuskegee University, graduated from Hampton University in 1875.

Photos:

Click to view pictures from previous High School Day events.

girls