Request Information

Student Information

If you are completing this form on behalf of a student, please provide the student's information below.

First Name

Preferred First Name

Last Name

Email Address

Birthdate

Cell Phone

May we text you?

Yes

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Address

Mailing Address

Country

Street

City

Region

Postal Code

Becoming a Student

Student Type

First Year

Transfer

Are you an international student (a non-US citizen who will require a visa for your studies)?

Country of Citizenship

Current or Most Recent High School
If your school does not appear in the list, please type its name in the text box.

GPA

Current or Most Recent College/University
If your school does not appear in the list, please type its name in the text box.

GPA

Do you want to add your parent/guardian to our mailing list so they can receive info too?

Yes

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email