Discovery Day at Alfred University
April 16, 2014

*Field is required

*First Name:
*Last Name:  
*Gender: Male Female
*Number Attending:
*Address:
*City:
*State:
*Zip:
*Telephone: ex: 123-123-1234
*Email:
*High School:
*Year of Graduation:
*Academic Interests:
(multiple interests may be selected by holding Ctrl and/or Shift while clicking)

*Extracurricular Interests:
(multiple interests may be selected by holding Ctrl and/or Shift while clicking)


After completing the Discovery Day Registration Form, click the "Submit" button, and your information will be forwarded to the Admissions Office at Alfred University.

If you wish to start over, click the "Reset" button to clear all of the information entered.