Group Tour Mailing List

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Fields

Group Tour Mailing List

Name*

First Name*

Last Name*

School/Organization*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Confirm Email *

Office Phone*

Mobile Phone*

Student Information

School/Organization Type*

Community College

Grade of High School Students

12th Grade 11th Grade 10th Grade 9th Grade

Grade of Middle School Students

8th Grade 7th Grade 6th Grade

Grade of Elementary Students

6th Grade 5th Grade 4th Grade 3rd Grade 2nd Grade 1st Grade Kindergarten

Grade of Other Student Type*

Community College 12th Grade 11th Grade 10th Grade 9th Grade 8th Grade 7th Grade 5th Grade 4th Grade 3rd Grade 2nd Grade 1st Grade Kindergarten

Special Program Type

AVID STEM Academy GATE Upward Bound Trio Program No Excuses University None Other

Other type:

School District*

Is your school located within Cal Poly Pomona's designated Local Area school districts?

Yes No

Not sure? View List of Local Area Districts here: http://www.cpp.edu/~admissions/undergraduate/freshmen/before/freshmenlocaladmissionarea.shtml

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