Experience Daemen- February 21st 11:00 am

Friday, February 21, 2025 at 11:00 AM until 12:30 PMEastern Standard Time UTC -05:00

Daemen University
4380 Main St
Amherst, NY 14226
United States

*Required Field

Student's Personal Information

*Student's First Name

*Student's Last Name

Student's Preferred First Name

*Birthdate

Gender

Gender Identity

Are you a veteran

Academic Information

*You will enter as a

*When will you enter

*What is your program of interest

*Current school (or last school attended)

Student's Contact Information

Phone Number

Mobile Phone

*Email Address

*Mailing Address

Country

Street

City

Region

Postal Code

Parent Information

Parent First Name

Parent Last Name

Parent Email

Event Guest(s)

*Will you be bringing a guest (limit 2 guests per student)?

By attending this event, I understand that photos/videos of me and my guests may be used in publications, social media, and/or videos.