Be a Rider Student for a Day

Your personal day of discovery with a Rider University Student Ambassador

Fields marked with an asterisk (*) are mandatory


*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
*Phone:
*Email:
*High School:
*Graduation Year:
Birth date:
Example: mm/dd/yyyy
*Academic Area of Interest
*Emergency Contact - First Name
*Emergency Contact - Last Name
*Emergency Contact - Phone Number
While on Campus would you like to:
Take a Campus Tour
Meet with a professor in your academic area of interest
Set-up an interview with an admission counselor
My preferred day of the week to visit is:
 Tuesday
Wednesday
Thursday
*Will anyone in your party need special accommodations?
 Yes
No
Comments:

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