DSU Statesmen Saturday

Personal Information

First Name

Preferred First Name (if different)

Middle Name

Last Name

Email Address

Birthdate

Student Mobile Phone

Alternate Phone Number

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Yes

No

I would like to receive telephone calls that deliver AI messages and SMS that provide details about Delta State University at this telephone number.

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Current School Attending

Will you be entering as a..

Interested Major

Additional Information

How many guests will you be bringing with you?

Are you a child of a DSU Alumni?

Yes

No

Does anyone in your party need accommodations for the following disabilities? (Visual, Auditory, or Physical) If you answer yes, we will contact you to learn more about your needs. This information will not be provided to anyone involved in the admissions decision process or to any other university office.

Yes

No

If yes, what accommodations can we assist you with during the visit?