College of Communication & Design Summer Intensive

Student First Name*

Student Last Name*

Student Birthdate*

Student Email Address*

Student Mobile Number*

Email of parent/legal guardian*

Mailing Address*

Country

Street

City

Region

Postal Code

I will be applying as a*

Intended major*

When do you plan to start at Lynn?*

What is your current or most recent school/college/university attended?*
Start typing the name and/or location of your institution and a list of choices will appear. Select your institution. If your school/college/university is not listed, you can type it in.

**HIDDEN** CEEB Code

How many guests will you be bringing with you? (You are limited to one guest.)*

First and last name of guest attending with you:*

Email address of guest attending with you:*

Parent Name

Parent Email

Parent Mobile Number

*Denotes a required field.