Individual Financial Aid Appointment with Andrea Zilch

Please complete the form below to register for a financial aid appointment via telephone with a Juniata College admission counselor. Note the items with an * are required fields. Thank you!

Person completing this form:

Student

Parent/Guardian

Parent/Guardian's First and Last Name:

Parent/Guardian's Email Address:

Student's First Name: *

Student's Middle Name:

Student's Last Name:*

Student's Birthdate:*

Student Email Address*

Phone Type*

Mobile Phone

Work Phone

Phone Number (Please include Area Code)*

Please note, these appointments are for our prospective, admitted high school seniors, transfer students and their family/guardian(s).

How would you prefer to talk?*

Phone call

FaceTime

Zoom

Phone number we should call for the appointment:*

Phone number we should call for FaceTime conversation:*

Email address we should use for Zoom invitation/participation*

Name of person(s) to whom we will be speaking with:

Relationship to prospective student:

If you have any particular topics or questions you would like to discuss with our staff, please feel free to share them in advance below.