Fall Discovery Day

STUDENT INFORMATION

First Name

Last Name

Email Address

Mobile Phone

Opt-in to receive text messages from SAU: You can expect monthly messages from St. Ambrose University with important info about deadlines, resources and events. Message and data rates may apply.

Yes

No

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Are you a US Citizen?

Yes

No

Please list country of citizenship.

ANTICIPATED STUDENT INFORMATION

Anticipated type of student

Anticipated program of study

Campus location you wish to take your courses

Anticipated start term

ACADEMIC HISTORY

Current school or most recent school if not currently attending
*Please be sure to click on the school if it populates in the drop down menu.

Self-reported High School GPA

EXTRACURRICULAR INFORMATION

Do you plan to participate in sport(s) in college?

Yes

No

Do you plan to participate in fine arts in college?

Yes

No

Which ensemble(s) would you be interested in joining?

FAMILY INFORMATION

Family relationship

First Name

Last Name

Email

EVENT INFORMATION

How many people will be joining you for your campus visit?

Will you or your guests need a mobility accommodation during the visit?

Yes

No

For mobility accommodations, please select any that apply:

30-minute tour (normally 60-minutes)

Virtual tour using the virtual map

Walking tour without stairs

Wheelchair loan

Do you or your guests have any food allergy restrictions? (please explain)

OPTIONAL ADD-ON SESSIONS

Athletic Presentation

Center for Health Sciences Education Tour (pre-nursing, pre-occupational therapy, pre-physical therapy, pre-physician's assistant)