Tell Us About You

*Student First/Given Name

Student Preferred First Name

*Student Last/Family Name

Student Suffix

*Birthdate

Student Contact Information

*Student Email Address

Student Cell Phone

Student Mailing Address

Country

Street

City

Region

Postal Code

Parent/Guardian Contact Information

Relation to Student

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Mobile Phone:

Parent/Guardian 1 Email Address

Parent/Guardian 1 mailing address same as student

Yes

No

Parent/Guardian 1 Mailing Address

Country

Street

City

Region

Postal Code

Would you like to provide a second contact?

Yes

No

Relation to Student

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Mobile Phone:

Parent/Guardian 2 Email Address

Parent/Guardian 2 mailing address same as student

Yes

No

Parent/Guardian 2 Mailing Address

Country

Street

City

Region

Postal Code

Current Academic Information

*Current School - Please type your school name and select from the list below. Be sure to verify the school city and state.

CEEB

Area of Academic Interest

*As a

First-year

Transfer

*Major of Interest

Optional

Sex

Female

Male

Gender Identity

Male

Female

Nonbinary

Add another gender

Your Gender

Pronouns

He/Him

She/Her

They/Them

Add another pronoun set

My pronoun(s):

Do you consider yourself to be Hispanic or Latinx?

Yes

No

Race - check all that apply

Recognizing English may be a second language for many families, Elon produces some promotional materials in Spanish. Would you like to receive our Spanish version brochures?

Yes/Sí

No

Do you identify as a member of the LGBTQIA community?

Yes

No

Admissions

Tell Us About You