Native American College Day

First name

Last name

Birthdate

I am a prospective...

I'm interested in starting college in...

What is your tribal affiliation?

Primary academic interest

Student email

Student mobile

By submitting this form, I agree to phone calls and/or text messages from or on behalf of Fort Lewis College at the phone number provided on this form, including my cell phone number. I understand that these texts/calls may be generated using automated technology. I further understand that I can opt-out of these communications by emailing UNSUBSCRIBE to admission@fortlewis.edu.

Mailing Address

Country

Street

City

Region

Postal Code

Academic History

Current or most recent school (Start typing to select school)

Hidden: School Code

Graduation or completion date

Additional Guest Information

How many guests will be attending this event with the student?

Guest #1 Name

Guest #2 Name

Guest #3 Name

Guest #4 Name

Family Member e-mail (only put 1 additional email that our communications can be sent to for event reminders)

By providing your information you are opted into our communication plan you can opt out at any time. You will receive important information about the admission process, application and scholarship deadlines, and what it is like to be a part of the Skyhawk Family.

Please list any dietary and/or physical accommodations/restrictions for all attendees.

For this specific event, we have a limited number of hotel rooms in Durango to provide students and their guests for free. It is first-come first served. Hotel accommodations will be two queen beds in one hotel room for one night, Thursday March 6th. We will notify you with your hotel accommodations and details after registration.

Do you require hotel accommodations?