Spring Visit Program

Gael for a Day Registration

Bolded items are required information.

Contact/Personal Information
First Name:
Last Name:
E-Mail Address:
Gender:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Student Cell Phone Number:
Parent/Guardian's Name:
Parent/Guardian's Daytime Telephone Number:
Parent/Guardian's Cell Phone Number:
School Information
High School Name (for incoming freshmen) or College Name (for incoming transfer students):
Anticipated Major:
Program Date Selection
Program Date Selection:
Academic Information
List at least four types of classes you would like to attend (e.g. Communication, Biology):
What do you like to do in your free time?:
Parent Program
Will your parents/guardians be attending the Parent Program?:	Yes No
If yes, please provide the name(s) of those attending:
Will your parent(s) be attending the Spanish language parent program?:	Yes No
If yes, how many parents will be attending the Spanish language program?:
Travel
Will you be using the SMC shuttle to and from the Oakland Airport?:	Yes No
If yes, please provide your airline name and flight number:
If yes, please provide your time of arrival:
NOTE: If you are requesting use of the SMC shuttle, please book flights that arrive at the Oakland Airport prior to 9:00 a.m. These shuttles are for prospective students and families needing transportation from Oakland Airport to SMC and back after the program.