Medical College of Georgia
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Schedule a Closer-Look Campus Tour

I'll be at the MCG Student Center to begin my Closer-Look Campus Tour
at 1:00 p.m. on the Friday selected below:

Fields I want to explore are (limited to two programs per visit - select from the career fields listed below):

Dental Hygiene	Dentistry	Diagnostic Medical Sonography
Medical Illustration	Health Information Administration	Medical Technology
Medicine	Nuclear Medicine Technology	Nursing
Occupational Therapy	Physical Therapy	Physician Assistant
Radiation Therapy	Respiratory Therapy

Please complete this personal information:

First name

M.I.

Last name

Name Preferred (ie: nickname)

Name

Current Mailing Address

Street address
Address (cont.)
City	State Zip/Postal code
Country (if not USA)

Telephone
(including area code)

E-mail

My Current Status is:

High School Student
College Student
Not in School

If in school, what year?	If in school, where?

Please list any current professional license(s) or credential(s) you hold:

Comments/Questions

You can meet with an admissions counselor on the morning of the tour to discuss your career options. To schedule an appointment, please phone us at (706) 721-2725 or (800) 519-3388, after we've had time to receive this form. (Due to limited time for appointments on the day of the tour, alternate appointment dates may have to be arranged.)

Information for Prospective Students
Medical College of Georgia
Please email comments, suggestions or questions to:
Academic Admissions

February 25, 2008