Orientation - Simmons College of Kentucky

New Student Orientation Registration Form

Please fill out the requested information below. Upon submission, you will receive a confirmation email along with the information you provided. It will contain your orientation directions.

Are you a entering college as a first-time freshman?*

Yes
No

Which 2-day session will you attend?*

Which 1-day session will you attend?*

Name*

First Middle Last

Birth Date*

Email Address*

Enter Email Confirm Email

Contact Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Gender*

Are you first person in your immediate family to go to college?*

Yes
No

What Statement best describes your current status?*

I am a 2019 high school graduate.
I am NOT a 2019 high school graduate. It has been more than 2 years but less than 10 years since I earned my High School Diploma or Equivalent (GED).
I am NOT a high school graduate. It has been over 10 years since I earned my High School Diploma or Equivalent (GED).

What is your intended major?*

Extra-Curricular Interests?*

PLEASE LIST OTHER INTERESTS

Have you submitted your FAFSA (Free Application for Federal Student Aid) for the 2019-2020 academic year?*

Yes
No

Do You have any dietary restrictions?*

Yes
No

Please explain your dietary restrictions.*

Are you interested in applying for residential accommodations for Fall 2019 through our housing partners?*

Yes
No

SCKY approved list of housing partners (select all that apply)*

Select All
The Bellamy (502-634-5996) www.bellamylouisville.com
Family Life Center Student Housing

What School Sponsored activities would you be willing to attend? (select all that apply)*

PLEASE LIST OTHER ACTIVES NOT LISTED.

Signature

Touch-screens: Use your finger or stylus. - Non-Touch screens: Use your mouse.

Orientation Registration Fee

This is your Simmons College Orientation Registration fee. After you press SUBMIT, you will be directed to PayPal to complete this payment.

ORIENTATION FEES ARE NON-REFUNDABLE AND ONLY PROCESSED FOR STUDENTS ADMITTED TO SIMMONS COLLEGE OF KENTUCKY.

Are you participating in the Changemakers program?*

Yes
No

If you have a promotional code, enter it below:

Orientation Registration Fee*

Price: $40.00

Orientation Registration Fee*

Price: $20.00

Orientation Registration Fee*

Price: $0.00

Phone

This field is for validation purposes and should be left unchanged.