Open House for Health Professions & Nursing

Student Personal Information

Student First Name (Legal)

Student Last Name

Date of Birth

Sex

Primary Citizenship

Student Contact Information

Email Address

Mobile Phone Number

By providing my mobile number, I agree that Sacred Heart University may send text messages about general updates and event details. Standard rates may apply. I can opt out at any time.

Home Phone Number (optional)

Current Mailing Address

Country

Street

City

Region

Postal Code

Parent/Guardian Information

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Phone Number (optional)

By providing parent/guardian mobile number, I agree that Sacred Heart University may send text messages about general updates and event details. Standard rates may apply. Parent/guardian can opt out at any time.

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

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

College CEEB Code

Do you plan to live on campus?

Yes

SHU Undergraduate Major of Interest

SHU Undergraduate Program of Study

*SHU does not accept BSN transfer applications. Visit www.sacredheart.edu/sdanursing for information on our second degree accelerated BSN program. Please select another major of interest 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 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.

Extracurricular Interest Information

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

Yes

Varsity (NCAA Division I) Sport of Interest #1

Do you have another Varsity Sport of interest?

Yes

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

Do you have another Varsity Sport of interest?

Yes

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

Select another SHU Extracurricular Activity of interest to you:

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

Yes

Select another SHU Extracurricular Activity of interest to you:

Event Information

How many people will attend? (Including student)
*Limit 4 guests per student

Do you require ADA accommodations to access campus and participate in our event? We respectfully request 48 hours' advance notice to secure accommodations.

Please provide specific information:

Our campus tour may use stairs to access some of the tour sites. Please let us know if we should include access to elevators in our route.

Yes, I require elevator access for me or my guest(s).

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Open House for Health Professions & Nursing

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