Undergraduate Admissions Inquiry Form

Student Information

First Name

Last Name

Preferred Email Address

Birthdate

May we send you text messages?

Cell Phone

Phone

When do you plan to begin attending SIU?

I am interested in SIU as a:

Location you are interested in taking courses:

Site you are interested in taking courses:

Primary Academic Interest

Secondary Academic Interest

Current or most recent high school/college:

Would you like to provide your mailing address?

Country

Street

City

Region

Postal Code