SLP Online Virtual Information Session

First Name*

Middle Name

Last Name*

Email Address*

Birthdate*

Mailing Address

Country

Street

City

Region

Postal Code

May we send you text reminders?

Yes

No

Cell Phone Number

Do you require any accomodations in order to view this webinar?

Yes

No

Which accomodations are you requesting?

Digital copies of materials in advance

Live, realtime captioning (CART captioning)

ASL interpreters

Other

Which Speech Language Pathology program are you interested in starting?*

In-Person

Online

Undecided

The Online Speech-Language Pathology program requires that students live at least four hours away from our campus.

Do you currently live within four hours driving distance from the University of Cincinnati?

Yes

No

Tell us a little about yourself!*

I am a UC Speech Language Hearing Undergraduate student

I am a Communication Sciences & Disorders/Speech Language Hearing major at another institution

I am a leveling student (a non-CSD major returning for prerequisite coursework completion)

What college/university do you attend?

Do you have any specific questions you hope to have answered at the information session?

Hidden Event Tracking = SLP Info Session