Individual Visit - Independence

ABOUT YOU

First Name

Last Name

Date Of Birth

What are your preferred pronouns?

CONTACT INFORMATION

Email

Mobile Phone Number

I would like to receive SMS/text messages from Graceland University about important updates via text messaging (message and data rates may apply). To opt-out at any time text STOP.

Yes

No

Address
Start typing and select your address from the auto-suggest list.

Country

Street

City

Region

Postal Code

ACADEMIC HISTORY

Student Type (Internal)

Current/Previous College Name

School CEEB

School Address

Country

Street

City

Region

Postal Code

Unofficial Transcripts

Are any of your family members Graceland alumni (parent, sibling, grandparent, aunt or uncle)?

Yes

No

ACADEMIC INTERESTS

What is your program of interest?

During your visit, would you like to talk with a professor about this program?

Yes

No

When would you start at Graceland?

VISIT INFORMATION

Would you like to attend your individual on-campus or virtually?

In-person

Virtually

Preferred Visit Date

Visit Time

Unavailable on Tuesdays and Thursdays? Let us know a better time for you.

Campus (Internal)

Are you coming alone or bringing guests?

It will just be me!

I'm bringing guests!

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Guest Information
Guest: Relationship Guest: First Name Guest: Last Name Guest: Email

Add a guest