First Name: *

Last Name: *

Is your name hyphenated? *
- Select Option Yes No

Please enter the hyphenated name below: *

Date of Birth: *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Personal Email Address: *

Personal Email Address: (Confirmation) *

Select the student type that fits you best: *
- Select Option First-year Transfer Adult/Returning Student Not listed Please specify a value for Select the student type that fits you best:

When are you intending to graduate high school? *
- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034

Which semester do you plan to enroll as a full-time/part-time student? *
- Select Semester Winter 2024 Spring/Summer 2024 Fall 2024 Winter 2025 Spring/Summer 2025 Fall 2025 Winter 2026 Spring/Summer 2026 Fall 2026 Winter 2027 Spring/Summer 2027 Fall 2027 Winter 2028 Spring/Summer 2028 Fall 2028 Winter 2029 Spring/Summer 2029 Fall 2029

What is the name of the institution you're transferring from? *

When is the last semester you attended your institution? *

Are you an international student? *
- Select Option Yes No

Which country are you a permanent resident in? *
- Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentine Republic Armenia Aruba Australia Austria Azerbaijan Azores Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Do Not Use Do Not Use Do Not Use Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S Georgia Sandwich Islands Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent The Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan, Rc Tajikistan Tanzania Thailand The Bahamas The Congo Togolese Republic Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe

Zip Code: *

Zip Code *

Phone Number: *

Have you previously applied or been admitted to GVSU? *
- Select Option Yes No

Was it under a different name? *
- Select Option Yes No

Enter previous name: *

Which major are you interested in? *
- Select Option Biomedical Engineering Computer Engineering Computer Science Cybersecurity Electrical Engineering Information Systems Information Technology Interdisciplinary Engineering Product Design & Manufacturing Engineering Mechanical Engineering Occupational Safety & Health Management Not listed Please specify a value for Which major are you interested in?

Do you want a tour of the Engineering facilities? *
Yes
No
Not listed Please specify a value for Do you want a tour of the Engineering facilities?

Reason for your appointment: *

Appointments are scheduled at least one week in advance. Which day(s) of the week and time(s) work best for you? List all dates and times if possible. *

Do you prefer an in person (Pew Campus) or virtual (Zoom) appointment? *
In Person (Pew Campus)
Virtual (Zoom)
Not listed Please specify a value for Do you prefer an in person (Pew Campus) or virtual (Zoom) appointment?

Additional questions or concerns you need us aware of: *