Fireside Chat with President Conner

Who is filling out this form?

I am a prospective student

I am a parent/guardian

Please only enter student information (do not substitute parent/guardian email or other information).

There is a space to enter an additional email address which will allow you to receive the confirmation and reminder emails for the session.

Student Information

Student Email (Please use a non-school email address to ensure proper delivery of important messages)

Confirm Student Email

First Name

Last Name (Family Name/Surname)

Birthdate

I will apply as a:

First-Year

Transfer

When do you plan to enroll in college?

When do you plan to enroll?

Address

Country

Street

City

Region

Postal Code

Current School (Type school name and state into the box and select your school from the list that appears; if you cannot find your school, check the box below)

We require any identification of schools to be tied to our existing list of schools. If your school is not listed, please check the box below

I am unable to locate my school in the list.

Optional Information

Academic Interest #1

Academic Interest #2

Guest Email Address (If you wish for a parent/guardian to receive copies of the confirmation and reminder emails)

Mobile Phone (By providing your mobile number, you consent to receive event and/or application-related text messages)

Do you identify as Hispanic/Latino?

Yes

No

Regardless of your answer to the prior question, please indicate how you identify yourself. (You may select multiple)