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I would like to attend the following: 

Date

Open House Saturday Interview Day Tour
   

Name

Address

City State Zip

Phone

Email

High School/College

Year of Graduation


Are you interested in meeting with a faculty member? yes no

If yes, from which academic department?

Are you interested in meeting with an athletic coach? yes no

 
 
 
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ELMS COLLEGE • 291 Springfield Street • Chicopee, MA 01013-2839 • 413-594-2761