Request for Information

If you have any questions or want to learn more about Juniata, please complete and submit the form below and someone from the Admissions Office will contact you. Any information you provide will be kept in strictest confidence. While we put together some information for you, learn about the Juniata College experience by creating a personalized, digital viewbook.

* denotes required field

First Name *

Middle Name

Last Name *

Suffix

Preferred Name

Sex *

Email Address*

Parent Email Address

Birthdate *

Cell Phone
(Please include Area Code)

Home Phone
(Please include Area Code)

Mailing Address (Please Include Apartment Number if Applicable) *

Country

Street

City

Region

Postal Code

HS Graduation Year *

Student Type *

High School Name *

Former or Current College Name *

Entry Term *

Academic Interest 1 *

Academic Interest 2

Academic Interest 3

Activities
(You may select more than one item by holding down the CTRL key and clicking on additional items.)

Do you have any Questions or Requests?

Yes

Questions or Requests:

Academic
Archery
Art
Badminton
Baseball
Basketball
Bowling
Boxing
Career Oriented
Cheerleading
Community Service (Volunteer)
Computer/Technology
Cross Country
Cultural
Dance
Debate/Speech
Diving
Environmental
Equestrian
ESports
Family Responsibilities
Fencing
Field Hockey
Football
Foreign Exchange
Foreign Language
Golf
Gymnastics
Ice Hockey
Journalism/Publication
Judo
Lacrosse
LGBT
Mock Trial
Music: Instrumental
Music: Vocal
Other Club/Activity
Other Sport
Outdoor
Outdoor Track
Pep Band
Racquetball
Religious
Robotics
Rowing (Crew)
Rugby
Sailing
School Spirit
Science/Math
Skiing
Skin Diving
Soccer
Softball
Student Govt./Politics
Swimming
Tennis
Theater/Drama
Track & Field
Volleyball
Weight lifting
Work (Paid)
Wrestling