This inquiry form is for all prospective graduate program students interested in EMU.

Personal Information

First Name

Note: If you are an international student, please enter your name exactly as it appears on your passport

Middle Name

Last Name

Suffix

Preferred Name

Former Last Name(s)

Gender

Gender Identity

EMU collects 'Gender Identity' in addition to gender for reporting because the options mandated for reporting are not comprehensive of all genders. Read more here.

Pronouns

How would you like to be referred to in third person? All members of the EMU community strive to/are expected to use campus names and pronouns as indicated by each individual. (e.g. he/him/his, she/her/hers, they/them/theirs) - Read more about pronouns at EMU here.

Date of Birth

Mobile Phone Number

Include country code for numbers outside USA and Canada. Your phone number is the primary way that EMU will communicate with you. Please provide the best number to reach you.

Home Phone Number

Preferred Method of Contact

May we contact you via text messaging?

Address Information

Please add your permanent address below.

Country

Street Address

City

State/Province

Postal Code

Your Plan Information

Please select a Program Category

Please select your Program of interest

[Optional] Second - Program Category

[Optional] Second - Program of interest

What term are you interested in at Eastern Mennonite University?

Doctor of Nursing Practice Program Information

Current Employer

Master's Degree Held

Other Information

How did you hear about the program?

Employer Name

Please explain

Additional Comments

Prospect Status

Lead Owner ID

Preferred Name

Source

Student Type

Division

Eastern Mennonite University
Your Rights Under GDPR