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Johnson & Wales University Providence Campus
185 Pine St
Providence, RI 02903
United States

Please enter all information carefully. Items marked with an asterisk (*) are required.

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Anticipated Start Term*

First Name*

Last Name*

Email Address*

Confirm Email Address*

Birthdate*

Mobile Phone

May we text you?*

Yes

Mailing Address*

Country

Street

City

Region

Postal Code

Intended Major:*

Would you like to connect with a faculty member to learn more about your program and open house prior to arriving on campus?

Yes

What are your interests?

Please enter your high school graduation year as YYYY:*

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Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Relationship Type

Parent/Guardian Email Address

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Submitting this request constitutes my consent to receive communications - including through phone calls, text messages, e-mails, faxes, and any other means - from or on behalf of the university and its affiliates, agents, employees, and representatives for any university purposes at the (wireless) phone number(s) and contact information I have provided and may provide in the future. The foregoing consent includes but is not limited to receipt of communications sent by an automatic telephone dialing system or using an artificial or prerecorded voice or other automated technologies. I agree to notify the university in writing if I change, drop, transfer, or otherwise surrender any phone number(s) or e-mail(s) provided.