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(*) denotes a required field
Select a person category *
Student or Parent/Guardian
Counselor or School Administrator
Please note:
Parents/Guardians who are submitting this form should provide information about their student below. If you have more than one interested student, you must fill out a form for each student separately.
Student Information
Student First Name / Given Name *
Student Last Name / Surname *
Student Preferred or Chosen First Name (if different)
If provided, we use your preferred name in our communications.
Email Address *
Confirm Email Address *
Birthdate *
Birthdate *
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Mailing Address *
Mailing Address *
Country
Street
City
Region
Postal Code
I am a prospective... *
I am a prospective... *
First-Year Student
Transfer Student
Entry Term *
Fall 2023
Fall 2024
Fall 2025
Fall 2026
Do you identify as Hispanic or Latino?
Yes
No
Regardless of your answer to the prior question, please indicate how you identify yourself.
Regardless of your answer to the prior question, please indicate how you identify yourself.
American Indian or Alaska Native
Asian
Black or African American
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Are you a first generation college student? (Select Yes if neither of your parents graduated from a four-year college or university with a bachelor's degree or the equivalent.)
Are you a first generation college student? (Select Yes if neither of your parents graduated from a four-year college or university with a bachelor's degree or the equivalent.)
Yes
No
School Name * (If you are a home schooled student, please type "Home School" for School Name.)
School Code (CEEB)
School Address
School Address
Country
City
Region
Postal Code
Academic Interest(s). You may select up to 5 programs.
Ancient History
Anthropology
Arabic
Architectural Studies
Art
Art History
Asian Studies
Astronomy
Astrophysics
Biochemistry
Biology
Black Studies
Chemical Physics
Chemistry
Chinese
Chinese Studies
Classical Studies
Cognitive Science
Comparative Literature
Computer Science
Dance
Economics
Educational Studies
Engineering
English Literature
Environmental Studies
Film & Media Studies
Francophone Studies
French
Gender & Sexuality Studies
German
German Studies
Global Studies
Greek
History
Humanities
Interpretation Theory
Islamic Studies
Japanese
Japanese Studies
Languages
Latin
Latin American & Latino Studies
Linguistics
Linguistics and Languages
Mathematics and Statistics
Medieval Studies
Modern Languages & Literatures
Music
Natural Sciences
Neuroscience
Peace & Conflict Studies
Philosophy
Physics
Political Science
Pre-Law
Pre-Med
Pre-Vet
Psychology
Religion
Russian
Social Sciences
Sociology
Spanish
Theater
Undecided
Hidden:
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Campus Life Interest(s)
Campus Life Interest(s)
Athletics
Lang Center for Civic & Social Responsibility
LGBTQIA
Multicultural (Black Cultural Center, Intercultural Center)
Performing Arts
Politics & Civic Engagement
Religious, Spiritual, and Interfaith Life
Research
Sustainability
Undocumented/DACA students
Visual Arts
Parent / Guardian Information
Parent / Guardian 1 Email Address
Parent / Guardian 2 Email Address
Counselor or School Administrator Information
Current Position or Title (Select all that apply.) *
Current Position or Title (Select all that apply.) *
School-Based College Counselor
Community-Based Organization Counselor
Independent Counselor
Other School Administrator
If Other, please describe.
First Name / Given Name *
Last Name / Surname *
Email Address *
School Name / Organization *
School Code (CEEB)
Hidden:
GUID
School / Organization Address *
School / Organization Address *
Country
Street
City
Region
Postal Code
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