1c. Virtual Open Day Sign Up

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Lead Status

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Date of Submission

Date

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Open Day Date to Pass to MailChimp

Date

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Open Day

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Open Day Text for MC E-mail

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How we use your information
By filling out this form, we will be able to provide you with information and updates about our Virtual Open Days. We do not share this information with anyone else.

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Full Name:* This field is required.

First Name

Last Name

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Email Address:* This field is required.

Email Address

Confirm Email Address

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Phone Number:* This field is required.

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Virtual Open Day Attending:* This field is required.

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Which course are you interested in?* This field is required.

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When are you looking to begin your studies?* This field is required.

September 2020

September 2021

September 2022

September 2023

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How did you found out about Nexus ICA?* This field is required.

A friend/family member

An online advert: social media

Social media

An online advert: Google

A Google search

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As someone who's considering studying at Nexus ICA, we'd love to keep in touch with you throughout the year to let you know about what's going on here. To stay in touch by receiving SMS and e-mails from us, please check the box below.

I'd like to receive occasional SMS and e-mail updates from Nexus ICA

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Please verify that you are human* This field is required.

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