LRU Admissions Personal Visit Form

LRU Admissions Personal Visit

If you have earned a bachelor’s degree in a program other than nursing and are interested in information on our ELMSN program, please contact Keith Perry kperry@cr-m.laroche.edu to schedule either a virtual or campus visit. Please do not use this form.

* First Name

* Last Name

Date of Birth

* Gender

* Student Email Address

*Confirm Email Address

* Student Cell Phone Number

* Would you like to receive text messages?

* Country

* Address Line 1

Address Line 2

* City

* How many guests (not including prospective student)?

* Application Status

* What kind of student are you?

Freshman (currently in high school or recently graduated from high school and attending college for the first time or under 25 years old)

Transfer (attending another college and want to transfer over to La Roche or over 25 years old)

Graduate (already completed an undergraduate degree; looking for a graduate program)

* Expected Enrollment Session

* Expected Entry Year

* Intended Major

Do you have an accessibility need?

LRU Admissions Personal Visit

Parent/Guardian Information