Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Preferred Name
*Please enter valid Preferred Name
Middle Name
*Please enter valid Middle Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1 *
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country
*Please enter valid Country
Contact Number
*Please enter valid Contact Number
CellPhone Number
*Please enter valid CellPhone Number
Graduation Year *
*Please enter valid Graduation Year
Sex *

*Please enter valid Sex
Date of Birth *
*Please enter valid Date of Birth
Entry Term
*Please enter valid Entry Term
Student Type

*Please enter valid Student Type
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Phone Number
*Please enter valid Mother's Phone Number
Mother's Email Address
*Please enter valid Mother's Email Address
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email Address
*Please enter valid Father's Email Address
How did you hear about the University of Rochester
*Please enter valid How did you hear about the University of Rochester
Academic

High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Critical Reading
*Please enter valid SAT Critical Reading
SAT Writing
*Please enter valid SAT Writing
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
Test Scores (PDF Only)
*Please enter valid Test Scores (PDF Only)
Unofficial Transcript (PDF Only)
*Please enter valid Unofficial Transcript (PDF Only)
Athletic

Stroke(s)





*Please enter valid Stroke(s)
YouTube Link
*Please enter valid YouTube Link
Event 1
*Please enter valid Event 1
Time 1
*Please enter valid Time 1
Event 2
*Please enter valid Event 2
Time 2
*Please enter valid Time 2
Event 3
*Please enter valid Event 3
Time 3
*Please enter valid Time 3
Event 4
*Please enter valid Event 4
Time 4
*Please enter valid Time 4
Event 5
*Please enter valid Event 5
Time 5
*Please enter valid Time 5
Event 6
*Please enter valid Event 6
Time 6
*Please enter valid Time 6
Club Team
*Please enter valid Club Team
Club Coach
*Please enter valid Club Coach