Student Contact Information

PLEASE NOTE: Students will be contacted primarily via email with information related to LLI’s orientation, important dates, program updates and any other important information related to the program. Please enter an email address that is checked regularly.

Student Name

First Name

Last Name

Preferred Email

Please do not enter your school email.

Student Phone Number ( If applicable)

Do you give us permission to text you at this number?

Yes

No

Not applicable