Undergraduate Admissions Student Inquiry Form

Student Information

First Name

Preferred First Name

Last (Family) Name

Primary Email Address
(We recommend a non-school address)

Date of Birth

Mobile Phone Number

Would you like to opt in to receiving SMS Messages from Northeastern?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Inquiry Information

Entering as a

First Year

Transfer

What is your academic interest?
Visit our website for a list of all of our academic programs.

Northeastern Enrollment Term

Planned Northeastern Enrollment Year

Current or most recent high school name
(Begin typing to auto-populate options)

Current or most recent school name

Parent/Guardian Information

While students are the primary point of communication, we encourage you to enter contact information for parents or guardians you'd like to receive communications from Northeastern Undergraduate Admissions. This information may be updated at any time.

Parent/Guardian Type 1

Parent/Guardian First Name 1

Parent/Guardian Last Name 1

Parent/Guardian Email 1

Add another

Parent/Guardian Type 2

Parent/Guardian First Name 2

Parent/Guardian Last Name 2

Parent/Guardian Email 2

Submission Authorization

I consent to receiving informational and promotional emails, text messages, and/or telephone calls from Northeastern University about our certificates, degree programs, events or services at the phone number and/or email address I provided. You can opt-out at any time by texting STOP or by contacting us. Msg & data rates may apply. Consent is not required as a condition of purchasing our certificates and programs. See our Privacy Policy.