* Last Name
Middle Name
* First Name
* Address, Line 1
Address, Line 2
* City
* State
* Zip Code
* Country
* Home Phone Number
Work Phone Number
Other Phone Number
International Phone Number
* E-mail Address
Best time to call
* High School Graduation Year
* Level of Education Completed
Date Degree Completed
Student VISA Required Yes / No
Country of Citizenship
* Military Status
* Location Code
* Program of Interest
Why do you want to attend college?
Inquired Before Yes / No
* Warm Transfer Result
* By checking YES and submitting this form to Argosy University constitutes and confirms your written express consent to be called and/or texted by a representative from Argosy University using an automated telephone dialing system at the phone number(s) you provided on this form, which may include your mobile/cell phone number. All calls placed to you will be regarding educational services that you are requesting. You are not required to provide consent to receive information from this school. Additionally calls may be monitored for quality assurance purposes.