Undergraduate Inquiry Form

* = required field

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?*

Home Address

Country

Street

City

Region

Postal Code

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*:

What are you interested in studying?

Instrument

Relationship Information

How are you related to the student

First Name

Last Name

Email

Parent Information

Parent Type

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

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