Russ College Multicultural & Community Outreach Programs: Informational Receptions

Outreach Programs

Russ College Links

MEIR Registration Form

Venue:

Student Name:

Address:

City:

State:

Zip Code:

Phone:

E-Mail:

Sex:

Racial Ethnic Background (Choose all that apply):

Asian

African-American/Black

Caucasian/White

Hispanic/Latino

American Indian/Alaska Native

High School:

School Phone Number:

School Address:

School City:

School State:

School Zip:

Guidance Counselor:

Counselor Phone:

Counselor E-mail:

Current GPA:

SAT:

ACT:

Grade Level:

Involvement:

Area of Interest in Engineering (Check all that apply):

Aviation

Chemical Engineering

Civil Engineering

Computer Science

Electrical Engineering

Engineering Technology Management

Industrial Manufacturing Systems Engineering

Mechanical Engineering

Undecided

All forms can be mailed or faxed to:

Dr. Laquetta Cortner
176 Stocker Center
Athens, OH 45701
740.593.1477 (phone)
740.597.1571 (fax)
cortner@ohio.edu

Russ College of Engineering and Technology
Multicultural & Community Outreach
Ohio University
Tel: 740-593-1477
Contact Us/Request Information