Request for Information

About you

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Sex

If you would like the opportunity, we invite you to share more about your gender identity below

Contact Information

Email Address

Home Phone

Mobile Phone

May we contact you by text message?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

Current High School (or college for transfer students). If you are homeschooled or your school is not listed, please enter 00000 in the field below.

Enrollment Information

I intend to enroll:

I will be 23 years of age OR have a college degree my first semester at Guilford.

No

Yes

I am a...

If other, please select

What is your Post Bac academic interest?

What is your Master's degree academic interest?

What is your Second Degree academic interest?

What is your Academic Interest?

Would you like to add another Academic Interest?

Yes

No

What is your next Academic Interest?

Would you like to add another Academic Interest?

Yes

No

What is your next Academic Interest?

Are you involved in a Sport?

Would you like to add another sport?

Yes

No

Are you involved in a Sport?

Would you like to add another sport?

Yes

No

Are you involved in a Sport?

Extracurricular Activities

Would you like to add another activity?

Yes

No

Extracurricular Activities

Would you like to add another activity?

Yes

No

Extracurricular Activities