Uprooted Academy Virtual Fair

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Attendee Form

Are you a?

Student/Recently Graduated:

First Name

Last Name

Email

Cell Phone Number

School Name

Graduation Class

Country

Gender

Ethnicity

Have you attended a college fair before

Yes

No

PARENT/GUARDIAN

FIRST NAME

LAST NAME

E-MAIL ADDRESS

CELL PHONE NUMBER

STUDENTS Graduation Class

What is the high school that your child attends?

ADVISOR

PARENT/GUARDIAN

FIRST NAME

LAST NAME

E-MAIL ADDRESS

CELL PHONE NUMBER

School Name/Organization Name

STATE OF RESIDENCE (US STATES ONLY)

Did you require or invite students to attend

Yes

No

Terms & Conditions and Privacy Policy

I have read and agree to the Terms and Conditions and Privacy Policy

You will have different opportunities to visit the booths and by clicking on the booth you are agreeing to be contacted by that university or resource.