Education Visit Day

Student's Biographical Information

First/Given Name

Last Name

Preferred First Name?

My name

My preferred name for communications

Legal Sex

Female

Male

Prefer not to answer

If you'd like to share more about your
gender identity, please do so here:

Cell Phone

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Additional Student Information

Student Type

Entry Term

High School

Most Recent College

Do you have a friend or family member with a connection to Loras College?

Yes

No

Please list first and last name and relationship to you

Will they be present at your visit?

Yes

No

Did you participate in Mock Trial?

Yes

No

Parent/Guardian Contact

Parent/Guardian

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Cell Phone

Student Involvement

DeleteSport _ID_
Please indicate any collegiate athletics you plan to participate in. Loras College is a part of the NCAA Division III.


Select Sport

DeleteActivity _ID_
I am interested in participating in these Loras College activities.


Select Activity

Please select area(s) of interest/major.

1st Major of Interest

2nd Major of Interest

Dual Degree Pathway

I give permission to Loras College to use photographs and/or video of me, in publications, news releases online, and in other communications related to the mission of the college.

Yes

No

¿Hablas español? Marque esta casilla si desea solicitar una experiencia de visita en español.

Sí

Does anyone in your visiting party have mobility restrictions?

Yes

No

How many guests (including yourself) will be visiting?