Request for Information

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

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

First Name*

Preferred Name (if different from your first name)

Last Name*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Student Cell Phone

I agree to receiving text updates and important information, from HSU.*

Yes

No

Have you already graduated high school (as of the day you are filling out this form)?*

Yes

No

What year will you graduate from high school?*

What year did you graduate from high school?*

Have you attended a college or university after graduating high school?* (concurrent credit earned in high school does not count)

Yes

No

Are you seeking an undergraduate degree or graduate degree?*

Undergraduate (Associates or Bachelors)

Graduate (Masters or Graduate Certificate)

Which of the following best describes you?*

Major of Interest*

Major if Interest*

When will you enroll at Henderson State?*

High School*

Current or most recently attended college/university*

College/University that you earned (or will earn) your bachelors degree from*