Undergraduate Student Orientation Registration Form

Personal Information

1. Full Name on Passport:
2. Gender: Please select one Male Female Other
3. Date of Birth: (MM/DD/YYYY)
4. VISA Type: Please select one B-1 B-2 F-1 H-1B J-1 J-2 TN Permanent Resident U.S. Citizen
5. School: Please select one Trinity College Pratt School of Engineering
6. Email Address:
7. Fax Number:

Move-In Information

8. Do you plan to move-in to your dorm early: Please select one Yes No

   If yes, date for early move-in: Please select one August 15 August 16
   (There is no room charge for early move in. If you move into your residence hall early to attend International Orientation, you MUST also complete this Registration Form for Residence Life and Housing Services.)

9. Did you order linens from Bookstore or Blue Devil Linens: Please select one Yes No

   If yes, please provide order number:

Orientation Reservations

10. International Student Orientation on August 17-18: Please select one Yes No
11. International Parents Orientation on August 17: Please select one Yes No

    If yes, number attending orientation:

12. Welcome Dinner on August 17 at 6pm: Please select one Yes No

If yes, number attending dinner:

Other Information

13. Are you willing for your name and email address to be given to students and/or organizations affiliated with Duke who wish to contact you regarding your country/culture? Please select one Yes No
14. Please include additional information or questions below: