Virtual Open House

Personal Information

Total Number Attending

First Name

Preferred Name

Last Name

Gender Identity

Birthdate

Is your parent/guardian(s) an alum of SUNY Canton?

If yes, what is the name and graduation year of the alum(s)?

Are you military connected?

Yes

No

Mailing Address (Please include Apartment Number, if applicable)

Country

Street

City

Region

Postal Code

Contact Information

Email Address (If possible, please avoid using your high school email, as it may be marked as SPAM)

Phone Number (Home)

Phone Number (Mobile)

School Information

Entry Level

High School Name

High School CEEB Code

High School Graduation Year

Previous College(s) Attended

Anticipated Start Date

Intended Major

Athletic, Hobbies, or Club Interest