Person Creation Form

Personal Info

First Name:

Last Name:

Birthdate:

Gender:

Email Address:

Exclude from inquiry campaigns (students will be returned to regular campaigns upon app start)

Phone Number:

Citizenship (Please use when entering international leads)

Address

Country

Street

City

Region

Postal Code

Academic Info

Campus

Level

Entry Term:

Source Event

Program Undeclared Dual Credit (HIDDEN)

CUAA Traditional Undergrad Info

Student Type

Academic Program: (CUAA Trad)

Pre-Professional Program: (CUAA Trad)

Interests: (CUAA)

Sports

CUW Traditional Undergrad Info

Student Type

Academic Program: (CUW Trad)

Pre-Professional Program: (CUW Trad)

Interests: (CUW)

Sports

Accelerated Info

Student Type

Academic Program

Accelerated Info

Student Type

Academic Program

CUAA Grad Info

Academic Program:

CUW Grad Info

Academic Program:

High Schooler Info

High School Name

Level of Study

Parent 1 First Name:

Parent 1 Last Name:

Parent 1 Email Address:

Parent 2 First Name:

Parent 2 Last Name:

Parent 2 Email Address:

Attribute(s)

Notes and Comments