UG Virtual SIU Experience

Student Information

First Name

Last Name

Preferred Email Address

Birthdate

Cell Phone

May we send you text messages?

Enrollment Information

When do you plan to begin attending SIU?

I am interested in SIU as a:

Location you are interested in taking courses:

Primary Academic Interest

Secondary Academic Interest

Prospective Student Level

Current or most recent high school/college:

CEEB Code

Would you like to receive mail from SIU?

Mailing Address

Country

Street

City

Region

Postal Code

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