Academic Summit

Title*

First Name of Student*

Family Name of Student*

Email address*:

Birthdate *

Phone Number*:

Secondary School Completion Date (MM/YYYY)*:

Name of High School*

City | Canton/State | Country of High School:*

Housing and Food: Lunch and dinner on Saturday 16 February will be included. Franklin will help with transportation expenses to our campus in Lugano from within Switzerland, for students who register by February 1st. Would you like to stay on campus on the night of February 16th?

Yes

No

How did you hear about this event?

After you submit this form, we will email you further details about the program. Our staff will email or call you in order to help you with travel arrangements and accommodation, should you have chosen the overnight stay option. Thank you for taking the time to express your interest in our program!

*By submitting this form I agree to receive information about Franklin University Switzerland by email or post. I can unsubscribe at any time by emailing unsubscribe@fus.edu or by following 'Unsubscribe' links in email communications.