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Associate Degree Information Request
Personal Information
First Name
Last Name
Email Address (personal, non-school email address)
Cell Phone
Date of Birth (collected to prevent creation of duplicate records)
Date of Birth (collected to prevent creation of duplicate records)
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Start Term
I plan to start classes in:
Fall 2025 (August)
Fall 2026 (August)
Fall 2027 (August)
HIDDEN: Student Subtype (First Year)
First-Year student: I'm attending college for my bachelor's degree after completing high school or the GED/HiSET/TASC
Transfer student: I'm transferring from another college or university to pursue my bachelor's degree
Previous Dominican student: I'm returning to Dominican University to complete my bachelor's degree
Post-Baccalaureate student: I have a bachelor's degree and am interested in the Nutrition and Dietetics post-bacc program
High School Student-at-Large: I'm a current high school student interested in taking undergraduate courses for credit without enrolling in a program
Undergraduate Student-at-Large: I have graduated high school and am interested in taking undergraduate courses for credit without enrolling in a program
HIDDEN: UG Program (Liberal Arts and Sciences [AA])
Liberal Arts and Sciences [AA]
HIDDEN: UG Student Type (Undergraduate)
Undergraduate
High School Information
Last High School Attended
Unable to find your school?
If you were home-schooled, select
Home School
If you completed a high school equivalency exam (e.g., GED, HiSET, TASC), select
HS Equivalency
If you cannot find your school, select
Unlisted High School
Self-Reported High School GPA
School CEEB Code
Hidden: Level of Study
High School
Hidden: Degree
High School Diploma or Equivalent
Current Mailing Address
Your Mailing Address
Your Mailing Address
Country
Street
City
Region
Postal Code
By submitting this form, you are providing your express consent authorizing Dominican University and its representatives to contact you by email, text, and phone (including use of an automatic dialing system) at the email and phone number above. Consent is needed to contact you but is not a requirement to enroll at Dominican. Standard text messaging and/or data rates may apply.
Hidden: Campaign
Hidden: Click ID
Hidden: Client ID
Hidden: Content
Hidden: Form Type
Hidden: Medium
Hidden: Source
Hidden: Student Type Campaign
Hidden: Term
Hidden: TT ID
Hidden: UTM ID
Hidden: Form Internal Name
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