Request for Information

Welcome to the University of Providence!

We are so excited that you are interested in UP. Please let us know what information we can provide you for continuing your educational journey.

The University of Providence, mindful of its mission to be a witness to the love of Christ for all, admits students of any age, race, color, disability, national or ethnic origin, religion, sexual orientation, gender, citizenship status, status as a veteran, or any other characteristic that is protected by applicable state or federal law to all rights, privileges, program and activities generally accorded or made available to students at the University.

Demographic Information

First Name

Preferred Name

Middle Name

Last Name

Gender

Female

Male

Other

Birthdate

Email Address

Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Preferred method of contact

Would you like to receive text messages?

Yes

Parent contact information is optional. Would you like to provide parent information?

Yes

Relationship to Student:

Parent First Name

Parent Last Name

Parent Email Address

Academic Information

What is your current academic standing?

What is your current school or last school attended?

When would you like to start?

The University's School of Liberal Arts and Science and the School of Health Professions offer undergraduate programs for bachelor's degrees, associate's degrees and non-degree certificate programs. Graduate programs are offered in both schools and also include non-degree graduate certificate programs.

Level of Study

What area of study interests you? (select all that apply)

Athletic program of interest?

How did you hear about the University of Providence? (select all that apply)

If other, please elaborate.

Comments or Questions?

* Denotes required field.