SAU Inquiry Form

Complete this inquiry form if you are a prospective student. Otherwise, contact our switchboard at 563-333-6000 and ask to be directed to the office you need.

Enrollment Information

I am interested in enrolling as:*

I am interested in studying:*

I would like to begin classes:*

Do you currently have your LPN or RN License?

Yes

No

In which state is your professional license registered?

In which state do you reside in?

Please enter your license number:

Are you currently working on earning your LPN or RN license?

Yes

No

Personal Information

First Name

Last Name

Email Address

Mobile Phone

I would like to receive telephone calls that deliver AI messages and SMS that provide details about St. Ambrose University at this telephone number.

Yes

No

Birthdate

Are you a U.S. Citizen?

Yes

No

Academic History

Please enter your most recent high school attended/graduating from.

Parent Information (Optional)

Parent First Name

Parent Last Name

Parent Email

Parent Phone

Academic History

Please enter your most recent college attended/graduating from.

Activities

If you are interested in participating in Athletics or Fine Arts, please complete the section below.

DeleteSport _ID_
Sport Interest
Sport Interest

Add another Sport

DeleteFine Art _ID_
Fine Art Interest
Fine Art Interest Art - Medium Art - Medium Art Therapy Artist's Books Arts Administration Book Arts Bookbinding Drawing Graphic Design Painting Photography Printmaking Videography Web Design Band - Instrument Band - Instrument Bass Trombone Piano Piccolo Flute Oboe Bassoon Clarinet Bass Clarinet Alto Saxophone Tenor Saxophone Bari Saxophone Trumpet Horn Trombone Euphonium Tuba Percussion Drumset Violin Viola Cello Bass Guitar Color Guard Other Choir - Vocal Range Choir - Vocal Range Alto Baritone Bass Mezzo Soprano Soprano Tenor Theatre - Interest Theatre - Interest Acting Construction Directing Light Design Music Theatre Props Design Running Crew Scenic Design Sound Design Stage Management

Add another Fine Art

What would you like more information on?

Please elaborate on the questions you have: