Virtual College Planning Workshop

Student Personal Information

Student First Name (Legal)

Student Last Name

Date of Birth

Sex

Primary Citizenship

Student Contact Information

Email Address

Mobile Phone Number

Home Phone Number

Current Mailing Address

Country

Street

City

Region

Postal Code

Is this address different than your permanent address? (If yes, we will ask for this address.)

Yes

No

Permanent Address

Country

Street

City

Region

Postal Code

Parent/Guardian Information

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Academic Information

Please indicate the following: "I am currently a ______ in high school."

Intended SHU Entry Term

Admit Type

Freshman

Freshman International

Transfer

Transfer International

High School from which you will graduate (type to begin search)

High School CEEB Code

SHU Undergraduate Major of Interest

College from which you will transfer (type to begin search)

CEEB Code

SHU Undergraduate Program of Study

Do you plan to live on campus?

Yes

No

*SHU does not accept BSN transfer applications. Visit www.sacredheart.edu/sdanursing for information on the second degree accelerated BSN program. Please select another major of interest if you would like to submit this form.

Are you interested in a dual degree (undergraduate & graduate) program?

Are you interested in pursuing a graduate program at SHU?

Are you interested in one of the following bachelor's and professional degree programs with a partner institution?

If you are interested in pursuing a career in medicine or law after college, please select which of our corresponding Pre-Professional Advisement Programs would best suit your interest.

*The Pre-Medical program is for students interested in pursuing a career as a medical doctor.

Are you interested in our 3+2 Dual Bachelor's Degree Engineering Program with Columbia University or Rensselaer Polytechnic Institute?
(Please note SHU offers traditional undergraduate degree programs in Computer Engineering or Electrical Engineering that are separate from this program and may be selected as your Undergraduate Major above)

Extracurricular Interest Information

Are you interested in playing a Varsity (NCAA Division I) sport at SHU?

Yes

No

Varsity (NCAA Division I) Sport of Interest #1

Do you have another Varsity Sport of interest?

Yes

No

Varsity Athletics (NCAA Division I) Sport of Interest #2

Do you have another Varsity Sport of interest?

Yes

No

Varsity Athletics (NCAA Division I) Sport of Interest #3

Select a SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Event Information

Do you require specific accommodations in order to access the virtual workshop?

Please provide specific information:

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Virtual College Planning Workshop

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