Now is the time to learn more!

We're happy to hear from you. Please complete the following form to request information. We will follow up with you with personalized information soon!

Personal Information

First Name/Given Name*

Nickname/Preferred Name

Last Name/Surname/Family Name*

Birthdate* (used to prevent duplicate contacts)

Email Address*

Cell Phone Number

May we text you?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Are you a US Citizen? (used to provide accurate information)

Yes

Country of Citizenship

Academic Information

I am interested in attending as a...*

Anticipated Entry Term*

What are you planning to study?* (If you are unsure what you'd like to study, please select 'Exploring'.)

Select the license(s) and/or endorsement(s) you would most like to pursue. (If on a computer, hold CTRL and click to make multiple selections.)

Do you have additional academic interests?

Yes

Are you interested in an Pre-Health specializations or Pre-Professional tracks?

Academic Interest 2

Academic Interest 3

Instrument

Director Name

Director Email

Current or Most Recent High School*

Current or Most Recent College*

What is your current GPA? (optional)

Parent & Family Information

Your parents and family are an important part of selecting a college too! We'd love to keep in contact with them along the way. Please provide their information below.

What is this family member's relationship to you?

Parent/Family First Name

Parent/Family Last Name

Parent/Family Email Address

Parent/Family Phone Number

Inquiry Information

What information are you interested in receiving?

General University Information

Academic Program Information

Scholarship and Financial Aid Information

Campus Visit Information

Do you have any specific questions?