Pre-College Core Studio Concepts Registration

Student Information

Name*

First Last

Gender Identity*

Male
Female

Please select your gender or specify preferred gender identity.

Date of Birth*

Do you consider yourself to be Latino(a) / Hispanic?

Yes
No

In addition, please select one or more of the following racial categories to describe yourself:

Native American or Alaskan Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Non-Resident Alien

Student Email

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

School Name*

Graduation Year*

Parent Information

Parent Name*

First Last

Parent Email*

Parent Home Phone*

Parent Work Phone*

Classes

Class Selection

Student will be staying in MIAD's Residence Hall

No
Double Room
Triple Room

Roommate Request

Select TWO of the following classes.*

Basic Observational & Figure Drawing
Fiber Arts
Graphic Design
Illustration
Architecture + Interior Design
Painting
Photography
Screen Printing

Tuition includes supplies. If you are looking for a class that is not listed here, please call 414-847-3333.

Scholarships

I will be applying for a DPI scholarship.
I will be applying for a MIAD/other scholarship.

If you will be applying for a scholarship, please select only one.

Total (Due at a Later Date)

$0.00

Due Now

Price: $50.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

I would prefer to receive my registration paperwork electronically

If this is not checked, you will receive your registration paperwork in the mail.

Comments

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Pre-College Core Studio Concepts 2020

Student Information

Parent Information

Class Selection

Pre-College Core Studio Concepts 2020

Student Information

Parent Information

Class Selection

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