Academic Exploration Day

Demographic Information

Student's Legal First Name

Student's Legal Last Name

Student's Preferred First Name (if different from Legal First Name)

Student's Email Address

Student's Mobile Phone Number

Student's Birthdate

Permanent Address

Country

Street

City

Region

Postal Code

Enrollment Plans

What are your enrollment plans?

First Year Freshman

Graduate

Special Non-Degree

Transfer

When do you plan to start at Roanoke College?

Have you attended more than 4 semesters at an institution of higher education?

Yes

No

Do you plan to be a full-time or part-time student?

College Information

Select your most recent Institution of Higher Education

College CEEB

School Type

High School Information

What high school do you attend?

High School CEEB

School Type

Questions Regarding Your Visit

How many guests will be attending? (Don't forget to include yourself!)

Will you or your guest(s) require any accommodations to make your visit accessible and enjoyable? Please include details below and our staff will contact you to discuss.