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Campus Preview Day
Portland Registration Form
Counseling Option
Ministry Option
Monday, June 9, 2008
9:30 a.m. - 2:00 p.m.
Monday, June 9, 2008
12:00 noon - 4:00 p.m.
Registration Information
Event Option:
First Name:
Last Name:
Phone: - -
Email:
Interest:
Street Address:
City:

State:
Zip:
Guest / Spouse:
* All Fields Required
Scholarship Available
There is a one-time scholarship made available to students traveling from outside
Oregon or Washingtonto attend Western's Campus Preview Day. Recipients must enroll at least half-time in a degree program within one year of the event to be eligible for a $380,
one-credit hour scholarship.

To receive the scholarship, please fill out and submit the form on day of the event.