Nursing Information Session

First Name

A chosen name is the name that a person uses in their daily life that is different from their legal name. Please note that your chosen name will be used in all communication from Queens University of Charlotte.

Chosen Name

Last Name

Birthdate

Email Address

What pronouns do you use?

Please enter your pronouns

Would you like to receive text updates about this event and other future updates?

Yes

No

Mobile Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Is there anyone else you would like to receive the event reminder emails? If so, tell us about them:

Family Contact Information

First Name

Last Name

Email

Academic Information

Have you been admitted to Queens

Yes

No

Intended Major / Area of Interest*

I Will Be Entering As*

I Plan To Begin My Course of Study In*

Most Recent School or Institution*

Additional Information

Do you have any questions you'd like answered during your virtual visit?