Alabama's Public Liberal Arts University

Honors Program

Registration  Form for High School Scholars' Day

April 12, 2013

Please fill in the following information:

Name

  First             M.           Last
M #
Prospective Major
Address
City
State
Zip Code
 Phone
E-mail
High School
Total number in my group
 
I will attend High School Scholars Day, and will pre-register at this time.

I will attend High School Scholars Day, but will not pre-register at this time.

Please complete this form and submit no later than April 8, 2013.