Lewis University - Success Program

11:21 P.M. - Currently Fair, 57°F with wind CALM

Hey Future Lewis Flyers!

Other Ways to Register:

Phone:
(800) 897-9000
or
(815) 836-5250

Mail: Submit completed form

Fax:

(815) 836-5002

6:00 p.m to 7:30 p.m

Tuesday, July 1

Limited Space Available!

Online RSVP

*Required Field

*Student's Name:

*Address:

*City:

*State:

*Zip Code:

*Phone (Cell preferred):

*Email:

Academic Interest:

*Date you wish to attend:	*Have you filed your FAFSA?
July 1	Yes No


*Would you like your dinner to go?
Yes No

*Will you need a translator?	If so, in what language?
Yes No

Please, list the guests attending with you:

Parent or Guest Name:

Relationship to Student:

Parent or Guest Name:

Relationship to Student:

Parent or Guest Name:

Relationship to Student: