Let's Connect Request Form

Our admission counselors, faculty, and staff are ready to discuss our programs and answer your questions. Let us know who you would like to connect with and we will schedule a time for Rose-Hulman to reach out to you.

Please note that the form below is to register for communication via email, video meeting, or phone call, not an in-person campus visit; if you prefer to see campus in-person register on our On-Site Campus Visit page. It is not confirmed until you receive your email confirmation (check your spam folder if you do not receive it). Email questions to campusvisits@rose-hulman.edu. *Required fields are marked with an asterisk

STUDENT INFORMATION

Student First Name*

Preferred First Name

Student Last Name*

Student Birthdate*

Student Gender*

Female

Male

Nonbinary

X or another legal sex

Student Email Address* (Do not use high school issued email address.)

Student Mailing Address*

Country

Street

City

Region

Postal Code

Provide the best phone number to reach you.*

Does a confirmation email need sent to a secondary contact?*

Yes

No

SCHOOL INFORMATION

What school do you currently attend?

CEEB Code

Expected High School Graduation Date*

Will you enter Rose-Hulman as a 1st-time freshman or a transfer student?*

Freshman

Transfer

Expected Entry Term at Rose-Hulman*

Intended Major*

**Select entry term above to continue to the next section of the form.**

CONNECT WITH FACULTY & STAFF

QUESTIONS

Admissions Counselor

Athletics

Career Services

Financial Aid

Global Engagement

Housing & Residence Life

Performing Arts

Professor

Rose² Program

ROTC

Student Accessibility Services (formerly Disability Services)

Student Activities

COMMUNICATION PREFERENCES

What is your preferred method to connect with the departments selected above?

**Select preferred communication method above to continue to the next section of the form.**

To ensure that we do not schedule a phone call or video meeting outside of your availability, please let us know the earliest and latest times you are available on each date you select. Select three dates and time ranges you will be available to increase the chances of availability lining up.

When selecting available time ranges, please remember that we are on US EASTERN TIME.

First Choice*

Earliest Time*

Latest Time*

Second Choice*

Earliest Time*

Latest Time*

CONNECT WITH STUDENTS

Rose-Hulman students love to share their experience with prospective students. Select below if you would like to be emailed by a current student or one of our alumni.

Current Student

Alumni

Do we have permission to share your contact info with a current student or alumni?*

Yes

No

Would you like to provide any additional information?*

Yes

No

We will begin contacting the departments requested above to arrange your personal phone calls or video meetings; more information will arrive ASAP.

If you need to add any other additional information after submitting this form please email us at campusvisits@rose-hulman.edu; always include the student's full name in your email.