US Citizens Participating in FYI Orientation

First Name *

Preferred Name *

Please list what name you would like to be called. This can be the same as your first name.

Last Name *

WashU Student ID Number *

Country of Citizenship *

Phone Number *

WashU Email *

Gender *

Woman

Man

Gender Non-Conforming/Genderqueer

Prefer not to respond

Please list any dietary restrictions

For example: vegetarian, vegan, Halal, Kosher, lactose intolerant, gluten-free, food allergies, etc.

Please list any allergies

I authorize Washington University in St. Louis to charge my FYI Orientation fee of $250 to my student account. I understand my registration fee includes all program related costs including overnight accommodations, activities, and meals for the duration of the program, and will not be discounted or reduced for local students; all participants are expected to stay in the residence houses. *

I authorize the above statement.

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