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Transfer Virtual Interview Request
Please complete the form below to request an interview with our transfer coordinator - Justin Sillner. Use this form to request a specific date and time to connect with Ursinus.
Interview Related Details
Let us know if you would like this to be an official interview for consideration as a part of a current or future application or if you would this to be an informal chat with our transfer coordinator.
Formal Interview with Transfer Coordinator
Informal Chat with Transfer Coordinator
List dates and time that would fit into your schedule to connect with our transfer coordinator (i.e. 07/01/2020 at 10:00 a.m).
Please list multiple dates and times so we can best accommodate your request.
List any specific information you would like to discuss with our transfer coordinator.
Biographical Details
First Name
Preferred Name (if different than first name listed above)
Middle Name
Last Name
Birthdate
Birthdate
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Sex (as reported on your birth certificate)
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Additional information regarding your gender identity.
Contact Information
Mobile Phone Number
Do we have permission to text you regarding information related to your visit?
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Email Address
Mailing Address
Mailing Address
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Enrollment Information
When do you plan on enrolling at Ursinus?
2024 August
2025 January
2025 August
2026 January
2026 August
2027 August
2027 January
2028 August
2028 January
2029 August
2029 January
Student Type (Internal Only)
First-Year
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Where are you currently attending? If you are not currently enrolled please list the most recent school you've attended.
Ceeb code tied to school (Internal)
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