OPEN Group Registration Form

Please fill out the form below with your information, then navigate to the next page to select an OPEN group meeting time. If you have questions, please email open@northeastern.edu.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

NU ID Number (No Dashes): *

Referred By: *

For questions or concerns regarding OPEN Groups or registration, please contact OPEN directly at 617-373-4459 or open@northeastern.edu.