Dine & Decision

First, tell us a bit about yourself:

First Name

Preferred Name

Last Name

Email Address

Birthdate

What school do you currently attend?

CEEB Code

Parent First Name:

Parent Last Name:

Parent Email:

Student Type

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Next, tell us what you'd like to study:

When would you like to begin your studies?

What is your student type?

What is your academic area of interest?

How should we get in touch with you?

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

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 Kutztown University. You may opt out at any time. Message and data rates may apply.*

No

Yes

Additional Information

Number of Guests

Are you interested in receiving an on-site admissions decision? (If yes, more information will be communicated out prior to the event.) This is restricted for current high school seniors.

Yes

No

Persons with a disability, and who require accommodation, should notify the Disability Services Office two weeks prior to the event at 610-683-4108 or email DSO@kutztown.edu, TDD number: 610-683-4499, in order to discuss accommodations. Every effort will be made to provide reasonable accommodations. Please note: Kutztown University does not provide wheelchairs or other mobility devices.