Minot State University - New Student Orientation

ABOUT US

CONNECT Transfer Student Reservation Form

First Name:
Middle Name:
Last Name:
Birth Date:	(MM/DD/YYYY)

Gender:	Male Female

Check here for international student status:

Daytime Phone:
Major:

Preferred method of communication Please provide a mail or e-mail address.
Email Addresses:
Mailing Address:
	City State Zip

CONNECT dates:
August 16th

I will be taking classes: if other:

Number of guests attending evening dinner and entertainment:
(including student)

Please note any accommodations needed/dietary needs:

500 University Avenue West Minot, ND 58707 1-800-777-0750

NDUS