Visiting Student at Ursinus

Biographical Information

First (Given) Name *

Preferred Name, if not first name

Middle Name

Last (Family) Name *

Sex (as reported on your birth certificate) *

Additional information regarding your gender identity

Are You Hispanic or Latino?

Race

Date of Birth *

Mailing Address *

Country

Street

City

Region

Postal Code

Mobile Phone *

Email *

Current School Attending

Please select the level of study you are currently enrolled in.

Current School CEEB (automatically inserted when current school is selected)

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship to You

What term are you planning on taking classes at Ursinus College?

What subject would you like to take a class in?

Please select what time of the day you would like to take a class at Ursinus:

If you know the specific course you are looking to enroll in please place it below. Click here to access our current course offerings

Please upload your unofficial transcript here: