Personal Information
Let's start with the easy stuff. Tell us a little about yourself!
If no, where are you a citizen?
Instagram handle
Name of friend who referred you (if applicable)
Address Information
Where are you from? For permanent address, please list your hometown address. For current address, please list your address on campus this year.
Permanent address line 2
Emergency Contact Information
You must list at least one emergency contact. We will send these contacts information pertaining to financial and program details. By providing this contact information, you are granting permission to share this information with these contacts. If you would like two people to receive this information, please list their contact info individually as Emergency Contact 1 and Emergency Contact 2.
Emergency Contact 2 First Name
Emergency Contact 2 Last Name
Emergency Contact 2 Relationship
Emergency Contact 2 Email
Emergency Contact 2 Phone
Emergency Contact 2 Address
Emergency Contact 2 City
Emergency Contact 2 State
Emergency Contact 2 Zip Code
Academic information
If other, which one?
If other Major, which one?
Minor
If other Greek organization, which one?
Disciplinary Records
We have to ask…
If yes, please explain.
If yes, please explain.
Get To Know You
We will use these questions to help pair you with roommates and program groups. They are not used to determine your acceptance to the program.
(*) Mandatory field.
