Information Request

*First Name

*Last Name

*Date of Birth

Phone Number

*Email Address

*Mailing Address

*City

*State

*Zip

*Country

*I am interested in a:

Bachelor's Degree
Master's Degree/Doctoral Degree/ Graduate Certificate Program

*I will be a:

Freshman student
Transfer student

*Are you an International Student with an F or J visa?

Yes
No

I am interested in (Please hold control button to select multiple options):

I am interested in the following areas of study (please check all that apply):

Helen and Arthur E. Johnson Beth-El College of Nursing and Health Science

College of Business

College of Education

College of Engineering and Applied Science

College of Letters, Arts, and Sciences

School of Public Affairs

Pre-Professional Programs

Which program(s) interest you?

Elementary Education - Licensure

Engineering Education - BS

Human Services

Inclusive Early Childhood Education - Bachelor's of Innovation

Inclusive Elementary Education - BA

Secondary Education - Licensure

Which program(s) interest you?

Criminal Justice- BA

Social Work

Which program(s) interest you?

*I am considering starting this academic term:

I am also interested in (please check all that apply):

*Please choose the format you prefer to receive communication:

Email
Mail (Hard Copy)

How did you hear about us?

Additional Comments or Questions:

300 word(s) remaining

Alternative Licensure
Accounting (Masters of Science)
Athletic Training (MS)
Business Administration - on campus (MBA)
Business Administration - online (MBA)
BioChemistry (MSc)
Biology (MSc)
Chemistry (MSc)
Communication (MA)
Computer Science (MS)
Computer Science (MS) Games and Media Integration
Counseling and Human Services (MA) Clinical Mental Health
Counseling and Human Services (MA)
Counseling and Human Services (MA) School Counseling
Curriculum and Instruction (MA)
Curriculum and Instruction (MA) Curriculum & Instruction
Curriculum and Instruction (MA) Literacy
Curriculum and Instruction (MA) Science Education
Criminal Justice / Public Administration - Dual Degree
Public Administration / Sociology - Dual Degree
Criminal Justice (MCJ)
Education (MSc)
Education (MSc) Science Teaching
Endorsement Licensure
Electrical Engineering (MSEE)
Engineering (ME)
Engineering (PhD)
Engineering (PhD) Computer Science
Engineering (PhD) Electrical Engineering
Engineering (ME) Energy Engineering
Engineering (ME) Engineering Management
Engineering (ME) Information Assurance
Engineering (PhD) Mechanical & Aerospace
Engineering (ME) Software Engineering
Engineering (ME) Space Operations
Engineering (PhD) Security
Engineering (ME) Systems Engineering
Geography - Applied (MA)
History (MA)
Health Promotion (MSc)
Interdisciplinary - Applied Science (PhD)
Leadership (MA)
Leadership (MA) Education & Principle Licensure
Leadership - Educational Leadership Research and Policy (PhD)
Leadership (MA) Student Affairs in Higher Education
Mathematics (MSc)
Mathematics - Applied (MS)
Mathematics - Applied Science (PhD)
Mechanical Engineering (MS)
Non-Degree Graduate Gainful Employment Certificate
Nursing Practice (DNP)
Nursing - Nurse Practitioner (MSN)
Physics (MSc)
Physics - Applied Science (PhD)
Psychology (MA)
Psychology (MA) Clinical Psychology
Psychology (PhD)
Psychology (PhD) Geropsychology
Psychology (MA) Psychology Science
Psychology (PhD) Trauma
Public Administration (MPA)
Social Work (MSW)
Sociology (MA)
Sport Nutrition (MSc)
Special Education (MA)
Strength and Conditioning (MS)
Teaching English to Speakers of Other Languages (MA)