Student Information Request

Please complete the following form in order to receive more information from
Ohio Northern University.

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I am considering ONU as a... *

Freshman

Transfer

Are you a US Citizen or Permanent Resident? *

Yes

No

Personal Information

First Name *

Last Name *

Birthdate *

Gender

Student Email *

Student Cell Phone Number

May we contact you, the student by SMS Text Message?

Yes

No

Parent/Guardian 1 Information

Relationship of Parent/Guardian 1

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Email

Parent/Guardian 1 Cell Phone

Parent/Guardian 2 Information

Relationship of Parent/Guardian 2

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

Address

Mailing Address *

Country

Street

City

Region

Postal Code

Academic Interest

Entry Term *

Intended Academic Major *

Pre-Professional Healthcare and Other Programs

Educational Background

High School *

CEEB Code

High School Grad Month and Year *

Current or Previous College(s) Attended

College 1 *

College 2

College 3

College 4