Degree Completion Programs Information Request

Personal Information

First Name

Last Name

Email Address (personal, non-school email address)

Cell Phone

Date of Birth (collected to prevent the creation of duplicate records)

Academic Program

I am interested in studying:

I plan to start classes in:

Text Messaging

By submitting this form, I understand that Dominican University will use this information to contact me. We respect your privacy and will not share your contact information with anyone. Data rates may apply.