Louisiana Tech University - Office of Admissions::Orientation Online Registration (Student)

Note: All fields indicated by an "*" are required.

Student Contact Information

SSN *

(ex. 999999999)

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Country *

Home Phone *

(ex. 3182572238)

Mobile Phone Number

(ex. 3182572238)

e-Mail *

Student Interest Information

Academic Interest #1

Academic Interest #2

Transportation Details

Arrival means:

Car Bus Airplane

Need transportation

Yes No

[Transportation is provided to and from the Ruston Greyhound Bus Depot or Monroe Regional Airport.]

Arrival Details: (if by bus or air)

Date of arrival:

Time of arrival:

Flight/Bus Number and/or name

(ex. 1234 Continental)

[If your bus or air travel plans are not finalized, you can call the Admissions/Orientation Office when you have a definite schedule.]

Optional Information

I am interested in the band

I will be taking the placement exam

I will paticipate in the Wednesday workshops [conflicts with the placement exam]

Preferred Orientation Session

Sessions are assigned on a first-come, first-served basis. Rank the sessions in order of preference (1, 2, 3 and 4). Listing one choice will not guarantee a space for that session, so please list multiple options.

July 23 - 25

Nights to Stay With Us *

Registration Fee Payment

Registration Fee: 1- night $85.00 per person; 2 - nights $100.00 per person

NOTE: A State Service Charge for credit card payments has been provided for by ACT 148 of the Louisiana Legislature. The University considers that the credit card payment option is an important benefit to our students. A 2% State Service Charge is assessed on credit card payments. The State Service Charge has been designed to cover costs and the University earns no profit from this fee.

Registration Fee Total: 1- night $86.70; 2 - nights $102.00

Cardholder Name *

Card Type *

Card Number *

Expiration Date *

Month	Year