Virtual Why Northwestern Wednesday

Are you a student, parent/guardian or counselor?*

Counselor Information

Type of Organization:*

Organization*

Salutation

First Name*

Last Name*

Job Title

Email Address*

Phone Number

Note: If you would like to join our mailing list, please submit Counselor Contact List form.

Student Information

First Name*

Preferred First Name (If you wish to be addressed by a first name other than the one listed above, please indicate your preferred name in the space below.)

Middle Name

Last Name*

Birthdate*

Gender Identity (optional)

If you selected "other", feel free to specify your gender identity here (optional):

Email Address*

Confirm Email Address*

Please note: To ensure you continue to receive email from Northwestern, please add ug-admission@northwestern.edu and ug-admission@ugadm.northwestern.edu to your address book or contacts list.

Mailing Address*

Country

Street

City

Region

Postal Code

Home Phone

Cell Phone

High School / College Information*

I would enter the University in

as a

Most Recent School

Most Recent School Address

Country

Street

City

Region

Postal Code

Academic Interest

I am interested in the following Northwestern undergraduate schools

Arts and Sciences (Weinberg College of Arts and Sciences)

Communication (School of Communication)

Education and Social Policy (School of Education and Social Policy)

Engineering (McCormick School of Engineering and Applied Science)

Journalism (Medill School of Journalism)

Music (Bienen School of Music)

Select Music Major

Select Music Performance

Parent/Guardian Information

Salutation

First Name*

Last Name*

Email Address*

When do you expect your student will enter college?*

Note: If you would like to join our mailing list, please submit Parent/Guardian Contact List form.