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Prospective Student Information

Student Email Address

Student First Name

Student Last Name

Student Preferred First Name (if different than what is listed above)

Student Birthdate

Student Birthdate

Student Gender

Mobile Phone

I opt in to receive text messages from regarding events, visitation, or application updates. (Standard messaging rates may apply.)

I opt in to receive text messages from regarding events, visitation, or application updates. (Standard messaging rates may apply.)

Yes

No

Student Mailing Address

Student Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

What is your intended student type?

What is your intended student type?

Freshman (First-time College Student)

Transfer (Current College Student)

In what term would you like to enroll?

When would you like to enroll?

High school graduation date?

Area of Interest

School Information

Current High School or Most Recent High School

Current College or Most Recent College

Parent / Guardian Information

Parent / Guardian Email

Parent / Guardian First Name

Parent / Guardian Last Name

Relation to Student

Parent / Guardian Information (optional)

Parent / Guardian Email

Parent / Guardian First Name

Parent / Guardian Last Name

Relation to Student