First Name

Middle Initial

Last Name

Date of Birth

Gender

Street Address

Apartment Number (if applicable):

City

State

Zipcode

Country (for non-residents of the United States)

Telephone

E-mail address where you would like to receive correspondence*:

Intended Semester of Entry

Intended Year of Entry

Are you interested in enrolling as a freshman?

Intended Academic Program (Select up to 3):

Most Recent High School Attended:

Date/Year of High School Graduation:

GPA

All other universities/colleges attended:

Available tour sessions for Fall 2009:

• Tuesday at 3:00 p.m.
• Wednesday at 4:00 p.m.
• Friday at 1:00 p.m.

Please specify any accommodations needed (optional):

Group Visit (optional):

Financial Aid & Scholarships Workshop (optional):

I will attend the following session:

I would like to schedule an undergraduate admissions appointment (optional):

Before my tour
After my tour
Either before or after my tour
N/A

Note: it is recommended that you bring a copy of official or unofficial transcripts to your Admissions appointment.

Ethnic Origin (optional):

How did you hear about us? (optional):