Housing Residential Life
College for a Weekend

Registration

Student Name:
Student Address:
Student City, State, Zip:
Student Phone:
Student Email:
High School:
Which best describes you?:
High school junior exploring university options
High school senior who has applied or been admitted to CSU Stanislaus
Community college transfer student who has applied or been admitted to CSU Stanislaus
Other (please explain)
Student Gender:
Male
Female
Parent/Guardian Name:
Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Phone #:
 
Do you have special dietary needs?:
Yes
No
If yes, please Indicate:
Shirt Size:
Potential Major:
 
Do you have a parent/guardian who plans to attend the Parent Reception on Thursday at 6p.m.?
Yes
No
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Application Available February 2012 2010-11 Enter Here Housing & Residential Life - Homepage