Let’s Talk About the Accelerated Nursing Program

Student Information

Student First Name

Student Preferred First Name Learn More

Student Last Name

Student's Email Address

Birthday

Primary Citizenship

Appropriate Pronouns Learn More

Pronouns

Are you a first generation college student?

Contact Information

Mailing Address

Country

Street

City

Region

Postal Code

Student's Cell Phone

May we text you?

Yes

No

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Academic Interest

When will you be starting college at Valpo?
If you will be enrolling upon graduating high school, you will enter in the fall of the same year that you graduate high school.

Primary Academic Interest

Other Academic Interests

Most recent college/university attended
(Please type the full name of your high school or college and select it from the dropdown menu. You may need to spell out "Saint" vs. "St." or avoid other abbreviations.)

College CEEB Code

Please upload an unofficial transcript for each college/university you have attended. If you are unable to upload one now, please email it to transcripts@valpo.edu prior to your virtual session.

Visit Information

Will you be bringing any guests?

Yes

No

Total number of guests (not including you)

Please indicate any special assistance requests, dietary restrictions, and language preferences for you or anyone in your group. We will do our best to try to accommodate as many requests as possible.