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First Steps

Fields marked with an '*' are required.

I am a:*

Prospective Student

Parent of a Prospective Student

High school or College Counselor

For more information about Willamette, please fill out our Counselor Inquiry Form here.

Parent Information

Parent First Name*

Parent Middle Name

Parent Last Name*

Parent Email Address*

Parent Primary Phone Number

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Student Information (Please only include information for college-bound students)
Student Type* Student Type* First Year Transfer College Entry Term* Student's Legal First Name* Student's Legal Middle Name Student's Legal Last Name* Student's Preferred First Name Birthdate* Birthdate* Student's Email Address* Student's Primary Phone Number Does this student live with you? Does this student live with you? Yes No Student's Mailing Address Student's Mailing Address Country Street City Region Postal Code Student's Most Recent High School or College*

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Personal Information

Student Type*

First Year

Transfer

College Entry Term*

Legal First Name*

Legal Middle Name

Legal Last Name*

Preferred First Name

Willamette will use your preferred first name when addressing you in all email and mail communications.

What are your pronouns? (Select all that apply.)

He/Him/His

She/Her/Hers

They/Them/Theirs

Birthdate*

Email Address*

Home Phone Number

Mobile Phone Number*

Mailing Address*

Country

Street

City

Region

Postal Code

Most Recent High School or College*

Would you like to provide more information about yourself? (approx. 3-5 minutes)*

Yes

Final Steps

Would you like to:

Ask a question

Schedule a phone call with an Admission Counselor

Schedule a campus visit

What can we help you with?*

What would you like to discuss?*

We're excited to see you on campus! There will be a link to schedule your visit on the next page.