Los Rios Nevada Bound Transfer Bus

Student's First Name*

Student's Preferred Name

Student's Last Name*

Student's Birthdate*

Student's Cell Phone*

Student's Email Address*
Please double check spelling and accuracy of your email to ensure you receive event communications.

Preferred Pronouns (other)

Education

What year do you plan to enter the University of Nevada, Reno:*

What term do you plan to enter the University of Nevada, Reno*:

Fall

Spring

Search for name of school/institution currently attending*

Will you be the first in your immediate family to attend college?

Yes

No

Academic Interest

Choose your academic are of interest
Please visit our degrees website for more information on what the university offers!
(You can select multiple majors as you select through this list. If you are undecided, select "interdisciplinary".)

Interdisciplinary / Exploratory

Computational Linguistics

Undecided

Medicine

Speech Pathology and Audiology

Nursing

Pre-Nursing

Public Health

Kinesiology

Public Health

Social Work

Social Work

Please select any additional programs you are interested in:

How did you hear about this campus visit opportunity?

Emergency Contact Information *

Emergency Contact First Name*

Emergency Contact Last Name*

Emergency Contact Email*

Emergency Contact Phone Number*

Relationship to Student

Is your preferred language, as emergency contact, Spanish? (¿El idioma preferido como un contacto de emergencia el Español?)

University of Nevada, Reno Nevada Bound Visitor Agreement

Please carefully review and ensure your parties' understanding of the university's policies on:*

Laboratory Tours - there is a possibility that Nevada Bound sessions will visit laboratory space
Tobacco Free University
Weapons on NSHE Properties
Animals on University Property

I, the undersigned, affirm that I am either:

At least eighteen (18) years of age and legally competent to sign this form on behalf of myself and my party; or
Under eighteen (18) years of age and have had my parent or legal guardian review and co-sign this form on my behalf.

My party and I have read, understand, and agree to abide by the terms and conditions outlined above.

Click to Sign...

Parent/Legal Guardian Signature

Click to Sign...