Discover Butler Preview Day

Student First Name

Student Preferred Name

Student Last Name

Student Email

NOTE FOR GMAIL USERS: Please check your 'Promotions' tab for emails from us about your upcoming visit.

Student Birthdate

High School

Level of Study (Hidden)

CEEB Code (Hidden)

Contact Information

Mailing Address

Country

Street

City

Region

Postal Code

Mobile #

By providing your mobile number, you're opting-in to receive text message reminders about this visit.

Guest Information

Will You Be Bringing Any Guests?

Yes

No

Number of guests (not including student)

If you would like your guest(s) to also receive all communications related to this visit, please enter a valid email address

Do you or any of your guests require any disability-related accommodations?

Yes

No

Explain your accommodation need or request. Please be as specific as possible so that we can accommodate your request to the best of our ability.

Note: For disability-related accommodation requests, please allow two weeks’ advance notice in order to allow adequate time to make arrangements. Although attempts will be made to honor accommodation requests with less notice, it cannot be guaranteed that without two-weeks’ notice a reasonable accommodation can be provided.

Optional Campus Tour

Prior to the start of this visit program, at 12:00 PM, we are offering an optional campus tour. Please indicate by checking the box below if you plan on joining us for this tour before the official visit start time. If you indicate 'yes,' we will send you a confirmation via email, with additional information (note: we will also be offering a campus tour at the conclusion of the program, at 3:00 PM, if that works better for your schedule). This will be an approximately 1-hour walking tour of campus.

Yes, I/we plan on participating in the 12:00 PM campus tour

Enrollment Information

Student Type

I plan to enroll in:

Anticipated Major

Academic Interest Category

Interest Source (Hidden)

Interest Status (Hidden)

Co-Curricular Interests

Which co-curricular activities on campus interest you? (To select multiple values, hold Control on a PC or Command on a Mac.)

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Parent/Legal Guardian Information
Parent/Guardian Type Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian Email

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