Request for Information

At Heidelberg, students are part of a close-knit, student-centered community in Tiffin, Ohio. Since 1850, we’ve welcomed curious, motivated students and empowered them as Opportunity Makers—equipping them to lead lives of purpose, impact, and professional success.

We’ll use the information you share in this form to connect you with personalized updates, events, and opportunities. Please answer as accurately as possible so we can share information that's most relevant to you.

Intended Degree Level (Select "Undergraduate" if you will be a first-year/freshman or transfer student)

Undergraduate

Graduate

Undergraduate Student Type

First-Year Student (includes students who have taken CCP classes)

Transfer Student

When do you expect to begin your studies?

Academic Interest 1

Academic Interest 2

When do you expect to begin your graduate studies?

What graduate program are you interested in pursuing?

Personal Information

Student's First Name

Preferred Name or Nickname

Student's Last Name

Student's Date of Birth

Citizenship

Contact Information

Preferred Method of Contact

Call

Email

Text

Student's Email
Please use a personal email address (like Gmail or Yahoo) rather than a school email address. Many schools block emails from external senders, so a personal email ensures you'll receive our messages.

Student's Mobile Phone (include area code)
By providing your cell number, and clicking the text messaging box, you consent to receive notifications regarding enrollment status/ event/reminder messages from this university. To opt-out, reply STOP at any time. Msg & Data rates may apply.

You may contact me via text messaging (rates may apply)

Mailing Address

Country

Street

City

Region

Postal Code

Additional Information

Educational History

High School Name

High School Graduation Year

College/University Name

College Graduation Year

What is most important to you about a college?

Please rank the following items 1-5 based on their importance to you in the college search process.
(1 being the lowest and 5 being the highest)

Academic Support

1

2

4

5

Academic Support

Affordability

1

2

4

5

Affordability

Campus Vibe

1

2

4

5

Campus Vibe

Career Outcomes

1

2

4

5

Career Outcomes

Speed to Graduation

1

2

4

5

Speed to Graduation

Before you submit your form, is there anything else you'd like to tell us or anything we should know?

Inquiry Form Submission

I acknowledge by submitting this form my data is available to this institution.