Office of Admissions | Tour Request | Christopher Newport University

*First Name:	*Last Name:
*Salutation:	Preferred First (nickname)
Date of Birth:
Social Security #	- - (optional)
*Street Address:
*City:	State: Zip:
*Phone#	(000-000-0000, include area code)
*Email Address:
Parent's Name:	First: Last:
Parent's Email:
Is parent a CNU Alum?	Yes No

*Anticipated Date of Visit:	Please include month, date and year
Monday - Friday ONLY: Presentation followed by Tour	10:00 a.m. 2:00 p.m. Tours are not offered on Sunday
OR	* A time must be selected
Saturday ONLY: Presentation followed by Tour	11:00 a.m. Tours are not offered on Sunday.
*Number in Party:
Have you:	Come for 1st visit? yes no Applied to CNU? yes no Been accepted to CNU? yes no
How did you hear about CNU?
List name(s) and relationship of person(s) accompanying you:

SAT Scores:	Critical Reading: Math: CR/M Combined: Writing: NOTE: Please key in "000"for each field if you have not yet taken the SAT
And/Or
ACT Scores:	English: Math: Composite: NOTE: Please key in "000" for each field if you have not yet taken the ACT
*Cumulative GPA:
*Plan to Enroll:	Fall Spring Year Freshman Transfer
Area of Study :
*High School :
Extra-curricular Activities:

Additional Comments/Special Requests: