Request admissions materials

If you are interested in our undergraduate programs, please take a few minutes to complete this form.

First Name: *

Last Name:*

Street:*

City:*

State:*

Country:

Zip:*

E-mail:*

Main Phone:*

Alternate Phone:

Fax:

Choose one:

Male      Female

Which level of education best describes your current status?*

Currently in high school

Currently an undergraduate in college

None of the above

For which semester are you considering enrollment?*  Semester Fall Spring    Year 2012 2013 2014 2015 2016

Upon enrollment in our school, which of the following would you be?*
Freshman	Transfer

What are you interested in studying?*

Please select option Behavioral Sciences Bioethics and Natural Sciences Business Literature Communications and Media Jewish Studies Political Science Other

How did you hear about AJU?*

Please select option Web Search Referred By Another Website Phone Call Direct Mail Direct Email College Fair Newspaper/Radio Commercial Councelor Referred By Friend/Alumni Other

I would like to visit your school   Yes No

Please let us know your preferred visit dates, how many people will be in your party, as well as any other important information that we should know before you visit campus.

Any additional questions or comments you would like to make: