Undergraduate Inquiry Form

Name and Contact Information

Preferred First Name

First Name*

Last Name *

Birthdate*

Email Address*

Mobile Phone Number

Do you agree to receive text message communications from Mount Saint Mary’s University? You may opt out from communications at any time.

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No

Would you like to provide your mailing address?

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Mailing Address*

Country

Street

City

Region

Postal Code

Current or Most Recent School*

Program Information

Student Type*

First Year Student

Nursing Transfer

Transfer

Anticipated Major*

If you are interested in nursing but are having trouble determining your program of interest, please visit this page for more information.

Optional Information

Are you Hispanic/Latinx?

Yes

No

Would you like to receive materials in Spanish when available?

Yes

No

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