Request for Information

Please fill out the form below to be added to our mailing list and receive information about Henderson State and upcoming events.

Note: All fields marked with an asterisk (*) are required.

First Name *

Last Name *

Birthdate*:

Mailing Address *

Country

Street

City

Region

Postal Code

Student Cell Phone *

Student Alternative Phone *

Would you like to receive text updates from Henderson?

Email Address *

Have you graduated from high school (as of today)?

Have you attended a college or university after graduating from high school?

I will enter Henderson State as a *

Freshman - Applicant who has not attended college after graduating from high school (excluding summer classes).
International Freshman or Transfer - Applicant who is a foreign national seeking a student visa (F1).
Re-admit - Applicant who has previously attended Henderson State, is eligible to return, and has been out of continuous enrollment for 365 days.
Transfer - Applicant who has attended college during a regular term (spring or fall) since graduating from high school.
First Time Graduate - Applicant with a bachelor degree applying to graduate school for the first time.
Readmit Graduate - Applicant with bachelor degree applying to graduate school for the second time after one year of non-attendance or dismissal from graduate school.
Transfer Graduate - Applicant currently/previously admitted in graduate school at another institution that is still in good standing at that institution.
International First Time Graduate - non US citizen applicant with bachelor degree applying to graduate school for the first time.
International Transfer Graduate - non US citizen applicant currently/previously admitted in graduate school at another institution that is still in good standing at that institution.

Major of Interest *

What career path(s) are you interested in? (Select up to two)

Career Path 1: *

Career Path 2 (optional):

High School *

College/University Most Recently Attended *

CEEB Code

High School Graduation Year *

When will you enroll at Henderson State?*

When do you plan to enroll at Henderson? *