Online Information Session Request

(*) denotes a required field

Select a person category *

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.

I am a prospective... *

First-Year Student

Transfer Student

Entry Term *

Birthdate *

Email Address *

Confirm Email Address *

Sex

If you wish, please indicate your gender identity.

Hispanic

Regardless of your answer to the prior question, please indicate how you identify yourself.

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

Citizenship or Residency Status

U.S. Citizen

Permanent Resident

Dual U.S. and Other Citizenship

Foreign Citizen / Non-Immigrant

Mailing Address *

Country
Street
City
Region
Postal Code

School Name * (If you are a home schooled student, please type "Home School" for School Name.)

School Code (CEEB)

School Address

Country
City
Region
Postal Code

Academic Interest(s). You may select up to 5 programs.

Campus Life Interest(s)

Athletics

Lang Center for Civic & Social Responsibility

LGBTQIA

Multicultural (Black Cultural Center, Intercultural Center)

Politics & Civic Engagement

Religious, Spiritual, and Interfaith Life

Undocumented/DACA students

Parent Information

Parent / Guardian 1 Email Address (This parent will be copied on your confirmation email.)

Parent / Guardian 2 Email Address (This parent will be copied on your confirmation email.)

Counselor or School Administrator Information

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)

School / Organization Address *

Country
Street
City
Region
Postal Code