Admit Student Spring Event Shenzhen

* Indicates a required field.

Who is completing this form?

Prospective Student

Parent or Support Person

MICA Alumni

Teacher/Educator

Contact Information

First Name

Last Name

Email

Mobile Phone

*Event confirmation information will be sent to the email address and phone number provided above. By providing a mobile phone number, I authorize text messages to the number above and accept responsibility for any charges incurred. I understand I am able to opt out of text messages from MICA by replying STOP.

Year you graduated from MICA

Title or Role

What school are you associated with?

Student Contact Information

Student is a:

First Year Applicant

College Transfer

First Name

Preferred Name

Last Name

Birthdate

Email Address

Mobile Phone

*Event confirmation information will be sent to the email address and phone number provided above. By providing a mobile phone number, I authorize text messages to the number above and accept responsibility for any charges incurred. I understand I am able to opt out of text messages from MICA by replying STOP.

Address

Country

Street

City

Region

Postal Code

Would you like to add contact info for a parent or support person?

Yes

No

Parent or Support Person Contact Information

Relationship to Student

First Name

Last Name

Email Address

Mobile Phone

*Event confirmation information will be sent to the email address and phone number provided above. By providing a mobile phone number, I authorize text messages to the number above and accept responsibility for any charges incurred. I understand I am able to opt out of text messages from MICA by replying STOP.

Academic Information

I plant to attend MICA for:

Current or last attended school

**If you are a College Transfer student, please list your last attended or current college.
High school students should list their current high school.

What program are you most interested in?

Event Information

Total Number of Attendees in your Party:

Accommodations

Will you require accessibility accommodations to participate in the event (e.g. ASL, frequent breaks, access to elevators, etc.)? If you or any of your guests will need any form of accessibility accommodations, please select "yes."

Yes

No

Please let us know what accessibility accommodations you will need:

For questions about accessibility or disability-related accommodations, please contact us at admissions@mica.edu at least 48 hours before the event.

By submitting this form, I agree to receive communications from MICA and understand that such communications are subject to MICA's Privacy Policy. I understand that I am able to opt-out of these communications at any time.

MICA Admissions

Admit Student Spring Event Shenzhen

Contact Information

Student Contact Information

Parent or Support Person Contact Information

Academic Information

Event Information

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