Undergraduate Inquiry Form

Tell us about yourself!

Is this form being filled out by the student?

Yes

No

Student Information

Student Type
Dual-enrolled students should select first-year.

First Name

Last Name

Do you have a Preferred Name

When were you born?

Which email address do you check?

Current or most recent high school
Search for your school and select it from the drop-down list.

Current or most recent college attended
Search for your school and select it from the drop-down list.

Choose your start term:

Relationship Information

How are you related to the student

First Name

Last Name

Email

In order to better get to better serve you and to provide you with more information about Pacific, we'd love to find out more about you. Would you like to tell us more about who you are?

Yes

No

What is your current mailing address?

Country

Street

City

Region

Postal Code

What are you interested in studying?

Cell Phone Number

I authorize text messages to the mobile telephone number above and accept responsibility for any charges incurred.

Yes

Will you be a first-generation college student?

Yes

No

Gender

Female

Male

Non-Binary