AU Nursing Discovery Day

Student Information

First Name

Last Name

Birthdate

Program Level

Student Type

High School Name

Year of High School Graduation

Post-Baccalaureate Program of Interest:

Intended Start Term

Academic Area of Interest

Pre-Professional Program of Interest (optional)

Contact Information

Mailing Address

Country

Street

City

Region

Postal Code

Student Email Address

Parent/Guardian Email Address

Student Mobile Phone

Home Phone

Please check yes if you want to opt in to receiving text messages from Ashland University. Messages may include visit, event and/or application updates. You may also receive campus information that matches your academic interest(s).

Yes

No

Additional Information

Are you a Legacy Student of Ashland University? (Legacy students are children or grandchildren of an AU Alumnus)

Yes

No

Are you a Veteran or are you a dependent/spouse of a member of the Armed Forces?

Yes

No

Are you a member of the Ohio National Guard?

Yes

No