Partner site inquiry

Basic Information

First Name

Last Name

Email Address

Mobile Number

Degree Type

Program of Interest

Doctoral Program of Interest

Gender

How do you want to take classes?

When would you like to start?

Semester?

The Fall semester is from August to December. The Spring semester is from January to May.

Partner site you're interested in attending

May we contact you via SMS message?

By selecting yes and clicking “Submit,” I give Southeastern University permission to contact me with important university-related updates via text messaging. (Standard messaging rates may apply.) I also understand that I may opt-out from this communication at any time by replying with the word STOP.

How did you hear about us?

Street Address

City

State

Zip code

What excites you most about attending a partner site?

Press & hold ctrl or command to multi select

Partner Site ID

Year

Term Code

Lead source URL