Education Division - Like Me Request for Information

Student Information

First Name *

Last Name *

Birthdate is required**

Mobile Phone number *

Email Address *

May we send text messages?

Yes

No

Where did you hear about our program?

Current Academic Status

Student Type

What is your anticipated high school graduation year?

What is your intended start term at Lourdes University?
Fall = August Start; Summer = May Start; Spring = January Start

Start typing your current high school name and select the correct school from the options:

What would you like to do?

I would like to: (check all that apply)

Learn more about the Like Me program

Request an application for the Like Me program

I have the following questions:

Middle