Open House Reservation Form

Complete this form to reserve a space for one of our upcoming Open House programs:
(* indicates required fields)

Date:*

First Name:*
Last Name:*
Number of people attending:*
Address:*
City:*
State:* Zip:
Phone:*   
Email:*
High School:*
CEEB Code:
Year starting college:*
Entry Status:*
Ethnicity: 

Have you applied?:*
Yes
No

Do you plan to stay for lunch?*
Yes
No

 Are you attending the financial aid session?*
Yes
No

Areas of interest:

How did you hear about us?


Need help finding us? Get a map and directions to Shippensburg or view a map of campus.

For area lodging information, click here.