College of Pharmacy Student Chat (Virtual)

We're pleased you're interested in attending our virtual event! Please fill out the form below to register.

*denotes required field

Are you a...

Prospective Student

College/School Counselor

Family Member/Supporter

Other

Please specify:

Guest Information

Guest First Name

Guest Last Name

Guest Email

Guest School or Organization

Guest Job Title

Student Information

Student's First Name*

Student's Preferred Name

Student's Last Name*

Student's Email Address*

Confirm Student's Email*

If you would like a copy of your confirmation email sent to a parent/guardian,
please enter that email address below.

I would like to receive text messages:

Yes

Student Mobile Number

U.S. armed forces status

Have you submitted an application for admission to The University of Rhode Island?*

Yes

Are you connected with a Community Based Organization? (i.e. Upward Bound, TRIO, KIPP)

I would like to receive telephone calls and text messages that deliver information about URI.*

Yes

Would you like to provide or update your address?

Yes

Student Mailing Address

Country

Street

City

Region

Postal Code

Would you like to us a little more about yourself?

Yes

Student Gender

Prefer to self-describe:

Student Academic Information

I am a*

First-year student

Transfer Student

I plan to enroll*

I plan to live on campus*

Yes

I plan to major in*

Current High School*

High School Address

Country

Street

City

Region

Postal Code

What are you hoping to get out of this session?

Are you connected with a Community Based Organization? (i.e. Upward Bound, TRIO, KIPP)

Most recent institution*

Most Recent Institution Address

Country

Street

City

Region

Postal Code

What are you hoping to get out of this session?

Family Member/Supporter Information

Relationship to Prospective Student: *

List other relationship type. *

Family Member/Supporter First Name *

Family Member/Supporter Last Name *

Family Member/Supporter Mobile Phone *

I would like to receive text messages from URI *

Yes

Family Member/Supporter Email Address *

Where are you from?

Student First Name*

Student Last Name*

Student Email*

What questions do you have or what are you hoping to gain out of this session?