Roger Chat with Collin Cegelka

Contact Information

Please complete the information below to reserve your interview. Upon submitting the form, you will receive an email confirmation for your records.

Fields marked * are required

First Name*

Last Name*

Birthdate* (used for identification purposes)

Email Address*

Mobile Phone

Can we text you at this number?

Mailing Address

Country

Street

City

Region

Postal Code

When would you plan to enroll?*

Are you a first-year or transfer student?*

Your first-choice major*

What high school do you currently attend?
Be sure to click on the school name that appears in the search results to officially add it to your inquiry

What college have you most recently attended?
Be sure to click on the school name that appears in the search results to officially add it to your inquiry

Hidden: School CEEB Code

Personal Information

What pronouns do you use?

Would you like to share the race(s) and ethnicity with which you identify? If yes, please answer below.

Are you Hispanic or Latino?

Regardless of your answer to the prior question, please indicate how you identify yourself.
(Select one or more)

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Other

Are you the first person in your family to attend college?

A first-generation college student is defined as a student whose parent(s)/legal guardian(s) have not attended college or have not completed an associate's or bachelor's degree. This means that you are the first in your family to attend a college/university to attain an associate's or bachelor's degree.

Parent/Guardian Contact Details

Choosing the right college involves more than the student alone. That’s why we request contact information for a parent or guardian. This information will be used to keep parents up-to-date on timely admission and financial advice and support.

Want to share parent details?

Yes

No

Parent/Guardian 1 Name

Parent/Guardian 1 Email

Parent/Guardian 1 Mobile Phone

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Mobile Phone