Traditional Undergraduate Inquiry Form

Contact Information

First Name*

Preferred Name

Last Name*

Email Address*

Confirm Email Address*

Birth Date*

Do you want to receive text messages from DSU?

Yes

Not at this time

Cell Phone

Mailing Address

Country

Street

City

Region

Postal Code

Have you or a member of your family served in the military?

Yes

No

Student Information

Student Type*

Academic Program*

Entry Term*

High School Name

Level of Study (Hidden)

High School CEEB (Hidden)

College Currently or Most Recently Attended Name

Level of Study (Hidden)

College Currently or Most Recently Attended CEEB (Hidden)

Would you like to provide parent/guardian contact info?

Yes

Not at this time