Student Information
First (Given) Name:
Last (Family) Name:
Middle Initial:
Date of Birth:
Gender:  
Mailing Address
Country:
Address Line 1:
Address Line 2:
City/Town:
State:
ZIP Code:
Phone and Email
Primary Phone:
Secondary Phone:
Email:
Confirm Email:
Parent Email:
Confirm Parent Email:
Your intended plan of study at Drexel
Freshman or Transfer:
Program or Major:
Full-time or Part-time:
Term You Plan to Start:
High School Information
Add the most recent high school that you have attended.
Expected Graduation Date/ Graduation Date:
Why Drexel?
Which of the following led you to consider Drexel in your educational search?