Request Info (Traditional Undergrad)

Students walking under trees.

Ready to learn more about Anderson University? This is a great place to start. Please answer the questions on this page to allow us to customize our communications with you.

If you are requesting information from a country outside the United States or Canada, please use our international form.


Name *

First Name

Last Name
Date Of Birth (MM/DD/YYYY) *  
Where can we mail information? *



City
*
State

ZIP Code
Preferred Student Phone *

(US: XXX-XXX-XXXX, INT: +XX XXX-XXX-XXXX)
Phone Type
Student Email *  
Gender *
Area of Interest *

e.g. Nursing, math, or music
High School Name  
HS Grad Year *  

e.g. 2017
Transfer Student? *
Bringing in 12 credit hrs. or more post hs graduation

Submitting this form is equivalent to a signature.

If you have difficulty accessing any portion of this page then please email info@anderson.edu