Football Game Day Visit vs Hiram

STUDENT INFORMATION

Preferred First Name or Nickname

First Name

Middle Name

Last Name

Student Birthdate *

Student Email Address
Personal email address is preferred over a school email address.

Student Mobile Phone

We occasionally send information about deadlines and other admissions related information via text message. Please select 'Yes' if you would like to opt in to receive text messages from Westminster College. You may opt out at any time. Message and data rates may apply.

Would you like to receive timely messages via text?*

Yes

No

Mailing Address *

Country

Street

City

Region

Postal Code

PARENT/GUARDIAN CONTACT INFORMATION

Please provide at least one parent/guardian contact. (Required)

Relationship (Parent/Guardian 1):

First Name (Parent/Guardian 1):

Last Name (Parent/Guardian 1):

Email Address (Parent/Guardian 1):

Phone (Parent/Guardian 1):

Address (Parent/Guardian 1):
*If the parent/guardian address is the same as the student's address, click Same as Mailing Address.

Same as Mailing Address *

Country

Street

City

Region

Postal Code

Living With:*

Yes

No

Do you want to add another parent/guardian contact?

Yes

No

Parent/Guardian 2:
Relationship

Parent/Guardian 2:
First Name

Parent/Guardian 2:
Last Name

Parent/Guardian 2:
Email Address

Parent/Guardian 2:
Phone

Address (Parent/Guardian 2):
*If the parent/guardian address is the same as the student's address, click Same as Mailing Address.

Same as Mailing Address *

Country

Street

City

Region

Postal Code

Living With:*

Yes

No

COLLEGE INTERESTS

I intend to start College in

I will be entering college as a: *

First-Time First Year Student

Transfer Student

High School Graduation Year *

High School *

My current (or last attended) college/university *

EDUCATION INFORMATION

College Intended Academic Interest

Are you interested in the Case Western 3+4 Pre-Dental Program?

Yes

No

Are you interested in pursuing a Business Degree in Three program?

Yes

No

I would like more information

Are you planning to play a sport in College?

Yes

No

ATHLETIC INFORMATION

Primary Athletic Interest in College

Jersey Number

Height

Weight (in lbs.)

Twitter/X: @

Hudl URL Link

POSITIONS

Preferred Position

VISIT INFORMATION

Invited by, Coach:

Please provide the name of the coach.

How many guests do you anticipate bringing with you?

COMMENTS

In an effort to better accommodate your visit, please note any special requests and/or needs.

Lunch will be available. Please note any dietary restrictions below:

You may add an additional email address for email correspondence related to this visit.

Once you click submit, you will automatically receive a confirmation email. If you don't see it in your inbox, please check your spam or junk folders.