OHIO UNIVERSITY
Multicultural Engineering Informational Receptions (MEIR)
On-Line Application

Enrollment is limited. This program is open to all students, however, program content will be designed to assist multicultural students in making their transition from high school to an engineering or technology program.

For further information or to fax information please contact Laquetta Cortner at 740.593.1477 or by e-mail at cortner@ohio.edu. Materials can also be faxed to 740.597.1571.

Please Note: this form is not secure. Any information you submit here could possibly be read by a third party. If you would rather receive an application packet in the mail, feel free to e-mail cortner@ohio.edu. Required fields are marked with a (*).

* Venue:	Please select a city to see more information about the venue. Cincinatti, OH Cleveland, OH Columbus, OH Dayton, OH
* Student's Name:
* Home Address:
* City:	* State: * Zip:
* Phone:
E-mail:
* Your High School:
School Address:
School City:	State: Zip:
School Phone:
Guidance Counselor:
Counselor Phone:
Counselor E-mail:
Student Academic Standing
GRADE LEVEL:	[ choose one ] Junior Senior Other
* GPA:
* SAT Score:	(If you have not taken the SAT, please put in NT)
* ACT Score:	(If you have not taken the ACT, please put in NT)
High School Involvement:

* Racial/Ethnic background (please check all that apply):

Asian

African American

Native American

Hispanic

Caucasian

* Areas of interest in engineering (please check all that apply):

Aviation

Chemical Engineering

Civil Engineering

Computer Science

Electrical Engineering

Electrical Engineering - Computer Engineering Option

Industrial Technology

Industrial & Systems Engineering

Mechanical Engineering

Have you visited Ohio University? Yes No

Are you interested in visiting the campus? Yes No