Norfolk State University

Office of Admissions
Norfolk State University
First View 2012 Registration Form

L. Douglas Wilder Performing Arts Center, Saturday, March 24, 2012 at 8 a.m.

To register, please fill out the response card. RSVP by March 17, 2012

* Required Fields

First Name:* Last Name: *

Address:*

City: * State: * Zip: *

Email:* Confirm Email:*

Phone: * (xxx) xxx-xxxx

Cell Phone: (xxx) xxx-xxxx

High School/College Attending:

Choose Program of Study: *

No. of Students * No. of Parents: *

Type verification image:

Thank you