Undergraduate Open House

First Name

Last Name

Email Address

Phone Number

Birthdate

Student Type*
*Program of interest and start term will display once student type is selected

I will be studying as a

Program of Interest

I plan to begin my studies in

I will be studying as a

Program of Interest

I plan to begin my studies in

I consent to and authorize the use and reproduction by you — the University of Bridgeport — or anyone authorized by you, of my name, statements of information attributable to me, and my likeness, including any and all photographs and video which you have taken or will take of me, for any purpose related to the University of Bridgeport, without further compensation to me. All photographs and video footage you have taken or will take of me, or those provided by me to you, including photograph prints and video reproductions, shall constitute your property, solely and completely.

Yes