CoHST: Internships and Opportunities for Hospitality and Tourism (Virtual)

RESERVATION FORM

First Name

Last Name

Birthdate

Email Address

Should we email your parent/guardian a copy of the confirmation email?

Yes

No

Relationship Type (Hidden)

Parent/Guardian Email Address:

Home Phone

I consent to be contacted by Niagara University at the mobile phone number provided.

Yes

No

Mobile Phone

Your Niagara Plans

Anticipated Entry Term

What type of student will you be?

High School

College you currently/or last attended

CEEB/College Code

I am interested in the following Undergraduate major at NU

Mailing Address

Country

Street

City

Region

Postal Code