Election Day Shadow Event

Student Personal Information

First Name

Last Name

Preferred First Name

Birthdate

Primary Citizenship

Are you a U.S. Permanent Resident?

Yes

Student Contact Information

Email Address

Confirm Email Address

Mobile Number

Can we text you with information about being a student at GMercyU?

Yes

Would you like to provide a mailing address?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Student Academic Information

Program of Interest

Enrollment Term

I am a:

First Year Student (high school student/graduate)

Transfer Student (college student/graduate)

Returning GMercyU Student

High School
(If you cannot locate your school in the dropdown, please type the name, city and state of the school.)

Are you a member of Phi Theta Kappa?

Current or Last Attended College/University
(If you cannot locate your school in the dropdown, please type the name, city and state of the school.)

Course Information

Are you interested in shadowing a course in the morning? (Earliest course start time is 9:30am)

Yes

Please indicate what time(s) you would be interested in attending this event. Course options will be made available to you depending on the times of day you select. Please select your top course for the time(s) you are interested in attending, you may select one course from each of the three timeslots. Course numbers, names, and start and end times are listed. Your schedule for the day will be verified with you at check-in.

Course Options

Are you interested in shadowing a course in the later morning/early afternoon? (Earliest course start time is 11:00am)

Yes

Course Options

Are you interested in shadowing a course in the afternoon? (Earliest course start time is 1:00pm)

Yes

Course Options

Visit Information

Number of guests
(Please do not include the student in the guest count.)

Would you like to include a parent/guardian email in your event confirmation?

Yes

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

We strive to create an inclusive environment at our events. If there is an accommodation that we can provide to make the event more accessible for you, please type it in the box below.