Clarke Experience Night | Experience the Roar

Origin Code - HIDDEN

STUDENT INFORMATION

Student Email Address (preferably not a school issued email address)

Student Legal First Name

Student Preferred First Name (if different from Legal First Name)

Student Last Name

Student Personal Pronouns

Birthdate

Student Cell Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

ACADEMIC INFORMATION

I will be applying as a

When do you plan to start at Clarke?

Current or Last School Attended

Intended Major

Are you interested in a minor?

Yes

No

Please select your minor.

ATHLETIC INFORMATION

Are you interested in playing a sport in college?

Yes

No

Men's or Women's Sport?

Select the primary sport you are interested in playing at Clarke.

MUSIC INFORMATION

Are you interested in participating in choir, band, or strings? (Scholarships available)

Yes

No

Choose all that apply:

Band

Strings

Choir

What instrument(s) do you play?

WRAP UP INFORMATION

Anticipated number of guests (including student)

Please enter the exact number (including student).

Have you visited Clarke prior to this visit?

Please list any accommodations that you may need (i.e. Spanish interpreter, wheelchair, food allergies, etc.) We will try our best to make proper accommodations for your visit to campus. Please note that we need a 3 week notice for ASL (American Sign Language) interpreters.

How did you first learn about Clarke University?

If Other, please indicate where you learned about Clarke University.