Request for Information

Required questions are marked with an asterisk *

Your Information

First Name *

Middle Name

Last Name *

Email Address *

Mobile Phone number (xxx-xxx-xxxx)*

May we send text messages?

Yes

No

Please choose your current High School from the search below. *

When are you graduating high school?

Mailing Information

Mailing Address *

Country

Street

City

Region

Postal Code

Citizenship

Do you live outside the U.S.?

Yes

No

Permanent Resident?

Primary Citizenship

Academic Information

What do you want to start classes at Lourdes?
Fall = August Start; Summer = May Start; Spring = January Start

What will be your student type when you come to Lourdes:

New First Time Freshman - Direct from high school

Transfer - Attended a college/university after high school graduation

Select your program of interest?

Interests

What activities or organizations do you have interest in? To Select more than one, hold down the control key and click your interests.

What part do you sing?

What instrument do you play?

What sport(s) are you interested in playing?