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College of Engineering Parent Interest Form

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Student Information

Student First Name

Student Preferred Name

Student Last Name

Student Birthdate

Student Birthdate

Age of student?

Student Mailing Address

Student Mailing Address

Country

Street

City

Region

Postal Code

Name of Current School

Name of High School Student Plans to Attend (begin typing in box to search)

Student Academic Information

What semester does your student plan to enter college?

What is your student interested in studying?

Parent Information

Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email

Parent/Guardian Employer

Parent/Guardian Job Title

Parent/Guardian Work Phone

Would you like to list a second parent/guardian?

Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email

Parent/Guardian Job Title

Parent/Guardian Employer

Parent/Guardian Work Phone

How did you hear about the College of Engineering at Lamar University?

If other, how did you hear about us?