Accolade

Prospective Student Information

Student First Name*

Do you have a preferred first name (different from your legal name) that you would like to provide us?*
Note: UofL uses preferred name in communications to you via text, email and in print mailed to your address. We also use it when communicating with parents/guardians. If you are not comfortable having some people know this first name, you do not need to share it at this time.

Yes

No

Student Preferred Name*

Student Last Name*

Student Birthdate*

Student Email Address*

Student Phone Number*

Would you like to receive text communications/reminders about your upcoming visit (carrier data rates may apply)?

*

Would you like to receive text communications/reminders about your upcoming visit (carrier data rates may apply)?

*

Yes

No

Academic Information

High School*
Please type your school name, then scroll and SELECT your school from the drop down to ensure a match with our records. Typing in a city or abbreviated state (ex: Sacred Heart KY) can also help narrow your search.

CEEB Code*

Intended Major*

Registration Details

Total Attendees Registering*
The total number of attendees includes the student and a maximum of 2 guests.

Guest Email Address
This individual will be sent a copy of your registration confirmation and receive event details via email prior to the event.

Do you or your guest(s) require any special accommodations to participate in this event such as ASL interpretation, language, or physical accommodations?
Language/ASL interpretation requests must be made at least 2 weeks in advance of the visit. Mobility requests must be made at least 5-7 business days in advance of the visit.

Yes

No

Please describe your accommodation needs in detail:

Do you or your guest(s) have any special dietary restrictions?*
Note: Vegetarian options will always be provided in our available meal options.

Yes

No

Please describe your dietary restrictions in detail:

Are you interested in taking an optional student-led walking campus tour?*

Yes, I will take the 8:30 a.m. tour

Yes, I will take the 8:45 a.m. tour

No, I plan on touring UofL at a later date