Purple Preview Conversation Request

Please provide the month/year of the Northwestern information session or student panel you attended, either on campus or online.*

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.)

Last Name*

Birthdate*

Email Address*

Confirm Email Address*

Gender Identity (optional)

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

If you are a U.S. citizen and wish to be identified with a particular ethnic group, please check all that apply:

If you answered "Other" above, please specify:

Mailing Address*

Country

Street

City

Region

Postal Code

Home Phone

Cell Phone

High School / College Information

Most Recent School Name*

Most Recent School Address

Country

Street

City

Region

Postal Code

CEEB Code

Academic Interest

I would enter the University in*

as a*

I am interested in the following Northwestern undergraduate schools

Henry and Leigh Bienen School of Music

Judd A. and Marjorie Weinberg College of Arts and Sciences

Medill School of Journalism, Media, Integrated Marketing Communications

Robert R. McCormick School of Engineering and Applied Science

School of Communication

School of Education and Social Policy

I am interested in the following major(s)*

Scheduling

We will do our best to match you with a current Northwestern based on your preferences. While your match will be based first and foremost on host availability, which factor of the following is of the most importance to you?*

Academic interests

Hometown/region

No preference

Other

If other, please indicate*

Please select the day(s) you prefer for virtual Purple Preview conversation.*

Please select the general time frame(s) when you may be available for a Purple Preview conversation. You will be able to schedule your Purple Preview directly with your student "host," but this helps provide us with some guidance. Please note all times are in Central Standard Time (CST).*

Mornings (9am-11am)

Midday (11am-2pm)

Afternoon (2pm-5pm)

Evening (5pm-8pm)

Please indicate your preference for the format of your Purple Preview conversation.*

Video call

Phone call

No preference