The Blue & White Experience

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.*

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 Permanent 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 Permanent Address.

Same as Mailing Address *

Country

Street

City

Region

Postal Code

Living With:*

Yes

No

EDUCATION INFORMATION

I intend to start College in

I will be entering college as a: *

First Year Student

Transfer Student

High School Graduation Year

High School

My current (or last attended) college/university

COLLEGE INTERESTS

College Intended Academic Interest

Select the major you are most interested in for this pre-professional program.

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

Yes

No

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?

Committed to Westminster? *

Yes, I am committed and paid my deposit.

Yes, I will commit but have not paid my deposit

Unsure at this time

COMMENTS

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

You’re welcome to add another email address to receive updates about 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. Have questions? We’re happy to help—just email visitwc@westminster.edu or call (724) 946-7100.