Demographic Detail

First Name *

Last Name *

Primary Phone *

Birthdate

Email Address

Mailing Address *

Country

Street

City

Region

Postal Code

Additional Detail

Enrolling As

Intended Major *

Current School

School CEEB:

High School Graduation Year

Cumulative High School GPA

Do you intend to minor in Spanish Language and Culture?

Yes

No

Minor in Spanish - HIDDEN

Will you be a student-athlete at Clarke?

Yes

No

Intended Residence *

On Campus

Off Campus

Living with Parent/Guardian

Please list your volunteer experiences:

Please list your extra-curricular activities:

Why have you chosen Clarke University to receive your college education?

What does Clarke offer in academics and environment that you feel will be beneficial
to you as a student?

Race/Ethnicity Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to respond to the following two questions

Are you a Hispanic or Latino ?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Endowed Scholarship

Demographic Detail

Additional Detail