First Name:
Middle Name:
Last Name:
Email Address:
Mailing Address:
City:
State:
Zip Code:
Daytime Phone:
Year of Graduation:
Name of High School:
Preferred Program Date:
Would you like to tour
Rose-Hulman Ventures ?
* A optional tour of Ventures (South Campus) will be offered from 10:30 a.m. to 11:30 a.m. EST:
*** For more information on Ventures: Click Here!

Number of People Attending the Program:
Sport(s) of Interest: (include second or third sport if interested)
Sport No. 1:
Sport No. 2:
Sport No. 3:

If you have any questions, please call the
Admissions Office at 800-248-7448 ext. 8213 or 812-877-8213,
or email admissions@rose-hulman.edu.