Undergraduate Inquiry FormLoading...General InformationNamePreferred NameMiddle NameLast NameWhat are your preferred pronouns?he/himhe/theyno preferenceother (please ask)she/hershe/theythey/themEmail AddressPhone NumberBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900AddressAddressCountryStreetCityRegionPostal CodeAcademic InformationI am a:FreshmanTransferWhat is the name of your most recently attended school?Grad YearMajor(s) of InterestMajor(s) of InterestAccountingBiology - Ecology & Environmental ScienceBiology - General BiologyBiology - Pre-Veterinary ScienceBusiness AdministrationChemistry EducationCommunication - Advertising and Public RelationsCommunication - Film and Digital MediaCommunication - Sports CommunicationComputer ScienceCriminology & Justice StudiesElementary Education (Grades 1-6)FinanceGeneral Business Teacher (Business Education)Healthcare AdministrationInternational BusinessKinesiology - General ConcentrationKinesiology - Pre-Athletic TrainingKinesiology - Rehabilitation ScienceKinesiology - Strength & TrainingLiberal Arts Studies - Behavioral & Social SciencesLiberal Arts Studies - HumanitiesLiberal Arts Studies - Natural SciencesManagementMarketingMarketing Teacher (Business Education)Middle School Education (Grades 5-9) - Language ArtsMiddle School Education (Grades 5-9) - MathematicsMiddle School Education (Grades 5-9) - ScienceMiddle School Education (Grades 5-9) - Social StudiesNursingPhysical Education (Grades K-12)Post-Baccalaureate Pre-Medical StudiesProfessional Health Science - Biomedical ScienceProfessional Health Science - Pre-Occupational TherapyProfessional Health Science - Pre-Physical TherapyProfessional Health Science - Premedical & Pre-Pharmaceutical StudiesPsychology - General PsychologyPsychology - Mental HealthPsychology - ResearchPublic AccountingRadiologic ScienceSecondary EducationSocial WorkSpecial Education (Grades K-12)Supply Chain ManagementTheatreTheatre - ActingTheatre - Design & TechnologyTheatre - Musical TheatreUndeclaredSecondary education is a double major - please select your concentrationSecondary education is a double major - please select your concentrationBiologyEnglishHistoryTheatrePlease select your specific program concentration:Please select your specific program concentration:Biology - Ecology & Environmental ScienceBiology - General BiologyBiology - Pre-Veterinary SciencePlease select your specific program concentrationPlease select your specific program concentrationSecondary Education - EnglishPlease select your specific program concentrationPlease select your specific program concentrationSecondary Education - HistoryPlease select your specific program concentration:Please select your specific program concentration:TheatreTheatre - ActingTheatre - Design & TechnologyTheatre - Directing/ProducingTheatre - Musical TheatreEntry Term of InterestFall 2023Fall 2024Fall 2025Fall 2026Spring 2024Spring 2025Spring 2026Spring 2027Summer 2024Summer 2025Summer 2026Summer 2027How did you hear about Avila University?ACTAlumniAvila WebsiteCaptureCollege FairCollege RaptorDriveEABOtherPCUPublicationRadioReferralSATSocial MediaStudent PathsTelevisionSubmit
