Prospect Inquiry

Viterbo University Request Information

First Name

Last Name

Home Phone

Cell Phone

International Student?Yes No

Can we text you important updates about your application, events, or deadlines?

Do Not AllowAllow

Country United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chechoslovakia Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar(Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe Brunei Darussalam Cape Verde England Federated States of Micronesia Guam Guinea-Bissau Ivory Coast Marshall Islands Other Puerto Rico Scotland South Korea W Indies Assoc of States Zaire

Birth Date (mm/dd/yyyy)

Address

Email

City

Confirm Email Address

State Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Hubei Idaho Illinois Indiana Iowa Kaduna State Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Military Americas Military Europe Military Pacific Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New Providence New South Wales New York Newfoundland and Labrador none North Carolina North Dakota Northeast Lincolnshire Northern Mariana Islands Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Republic of Palau Rhode Island Saskatchewan South Australia South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon

Legal Sex Male Female

ZIP/Postal Code

Gender identity Male Female Different identity

Extracurricular Activity Art Baseball Basketball Bowling Campus Ministry Cross Country Dance Team Drama Esports Golf Honors Program Intramurals Multicultural Experiences Music - Vocal Outdoor Adventures Publications ROTC Service Projects Soccer Softball Student Government Study Abroad Sustainability Track & Field Viterbo Ambassador and Tour Guide Program Volleyball

Are you a U.S. Military Veteran?

YesNo

Are you currently U.S. armed forces active duty personnel or U.S. armed forces reservist?

YesNo

Are you a dependent of a U.S. Military Veteran?

YesNo

Personal Pronoun and Chosen First Name may be used for mailings, academic communications, class rosters, etc. If Chosen First Name is the same as Legal Name, please leave blank.

Personal Pronoun She/Her/Hers He/Him/His They/Them/Their Ze/Hir/Hirs Use my name as pronoun

Chosen First Name

ACT Composite Best Score

SAT Best Composite

HS GPA

High School Grad Year

High School

Academic Area

• Undergraduate – high schools students, transfer students, and traditional-aged prospective college students
• Bachelor Completion – prospective adult students interested in online/evening courses. Includes RN to BSN completion.
• Graduate – prospective students with undergraduate degrees looking to advance to a master’s or doctoral degree

Undergraduate Graduate School – UNDECIDED Bachelor Completion Dietetics Internship Graduate Business Graduate Business Certificates Graduate Education - Iowa Graduate Education - Wisconsin Graduate Ethics Certificate Graduate Mental Health Counseling Graduate Nursing Graduate Nutrition Graduate Servant Leadership UG Certificate in Community Interpreting

Academic Program Accounting Degree Completion Degree Completion Undecided Graduate School - UNDECIDED BSN Degree Completion Graduate Business - 4+1 MBA Program (for current traditional undergraduates) BSN Degree Completion (WTC Dual Enrollment) Graduate Business - Masters in Business Administration Business Leadership Degree Completion Graduate Business - Online MBA for Health Care Leaders Graduate Business Administration Non-Degree Health Care Management Degree Completion Elementary Education Degree Completion Graduate Certificate in Business - Health Care Management Elementary Education Degree Completion (MPS Only) Graduate Certificate in Leading Ethical Organizations Nursing Professional Pathways Undergraduate Certificate in Community Interpreting Graduate Mental Health Counseling - Ed.D. in Counselor Education and Supervision Social Work Degree Completion Graduate Mental Health Counseling - Master of Science Graduate Mental Health Counseling - Non-Degree Graduate Nursing - Non-Degree Graduate Nursing - Adult-Gerontological Nurse Practitioner (BSN to DNP) Graduate Nursing - Family Nurse Practitioner (BSN to DNP) Graduate Nursing - Post BSN CRNA/DNP * Graduate Nursing - Post BSN MBA/DNP Leadership Graduate Nursing - Post Masters to DNP for Ethical Leadership Graduate Nursing - Post MSN MBA/DNP Leadership Graduate Nursing - Post MSN to DNP for current APRNs Graduate Nursing - Post MSN to DNP including initial Adult-Gero NP Prep Graduate Nursing - Post MSN to DNP including initial Family NP Prep Graduate Nutrition - Master of Science in Nutrition Sciences Graduate Servant Leadership - Master of Arts Graduate Servant Leadership - Non-Degree Graduate Education - Iowa Non-Degree Courses (No Program) Graduate Education - Iowa Principal Licensure #189 Graduate Education - Iowa Teacher Leadership and Instructional Coaching Master of Arts in Education - (Generalist) - Iowa Master of Arts in Education & Iowa Principal Licensure #189 Master of Arts in Education & Iowa Teacher Leadership and Instructional Coaching Graduate Education - WI DISTRICT Cross-Cat Post Baccalaureate Teacher Licensure (MPS Only) Graduate Education - WI DISTRICT Cross-Categorical License, Emotion Behavior Disab (grades 1-8) Graduate Education - WI DISTRICT Reading Teacher Licensure #316 Graduate Education - Wisconsin Non-Degree Courses (No Program) Graduate Education - WI Cross-Categorical License, Emotional Behavioral Disabilities (grades 1-8) Graduate Education - WI Cross-Categorical License, Emotional Behavioral Disabilities (grades 5-12) Graduate Education - WI Cross-Categorical License, Intellectual Disabilities (grades 1-8) Graduate Education - WI Cross-Categorical License, Intellectual Disabilities (grades 5-12) Graduate Education - WI Cross-Categorical License, Learning Disabilities (grades 1-8) Graduate Education - WI Cross-Categorical License, Learning Disabilities (grades 5-12) Graduate Education - WI Director of Instruction License #10 Graduate Education - WI Director of Special Education & Pupil Services License #80 Graduate Education - WI Post Baccalaureate Teacher Licensure Graduate Education - WI Principal Licensure #51 Graduate Education - WI Principal Licensure #51 (La Crosse Diocese) Graduate Education - WI Reading Specialist Licensure #17 Graduate Education - WI Reading Teacher Licensure #316 Graduate Education - WI Superintendent #03 Graduate Education - WI Teacher Leadership and Instructional Coaching Master of Arts in Education - (Generalist) - WI Master of Arts in Education & WI Cross-Cat License, Emotion Behav Disab(grades 1-8) Master of Arts in Education & WI Cross-Cat License, Emotion Behav Disab(grades 5-12) Master of Arts in Education & WI Cross-Cat License, Intellectual Disab(grades 1-8) Master of Arts in Education & WI Cross-Cat License, Intellectual Disab(grades 5-12) Master of Arts in Education & WI Cross-Cat License, Learning Disabilities(grades 1-8) Master of Arts in Education & WI Cross-Cat License, Learning Disabilities(grades 5-12) Master of Arts in Education & WI Dir of Instruction License #10 Master of Arts in Education & WI Dir of Sp Ed & Pupil Serv License #80 Master of Arts in Education & WI Principal Licensure #51 Master of Arts in Education & WI Principal Licensure #51 (La Crosse Diocese) Master of Arts in Education & WI Reading Specialist Licensure #17 Master of Arts in Education & WI Reading Teacher Licensure #316 Master of Arts in Education & WI Teacher Leadership and Instructional Coaching Accounting Applied Mathematics and Analytics Biochemistry Biology Business Administration Criminal and Community Justice Dietetic Intern Certificate Education - Art Education - Business Education - Elementary Education - English Education - Mathematics Education - Music Education - Science Education - Social Studies Education - Spanish Education - Technology Engineering English Ethics, Culture, and Society Finance Health Care and Wellness Management Management and Leadership Marketing Music Music Performance Music Theatre Neuroscience Nursing Nutrition Science Pre-Professional Chiropractic Pre-Professional Dentistry Pre-Professional Law Pre-Professional Medicine Pre-Professional Occupational Therapy Pre-Professional Optometry Pre-Professional Pathologist’s Assistant Pre-Professional Pharmacy Pre-Professional Physical Therapy Pre-Professional Physician Assistant Pre-Professional Podiatry Pre-Professional Veterinary Psychology Religious Studies and Theology Social Work Spanish Sport Management and Leadership Theatre (Bachelor of Arts) Theatre (Bachelor of Fine Arts) Undeclared Undergraduate NonDegree - Early College Credit Program (ECCP) Undergraduate NonDegree - SENIOR ENRICHMENT PROGRAM Undergraduate NonDegree - TRADITIONAL NONDEGREE PROGRAM Undergraduate NonDegree - UWL COOP PROGRAM

Initial License Content Area Art PK-12 Business Education PK-12 Cross Categorical Cognitive Disabilities EA-A Cross Categorical Cognitive Disabilities MC-EA Cross Categorical Emotional Behavioral Disabilities EA-A Cross Categorical Emotional Behavioral Disabilities MC-EA Cross Categorical Specific Learning Disabilities EA-A Cross Categorical Specific Learning Disabilities MC-EA Elementary English Language Arts 4-12 Mathematics 4-12 Music PK-12 Science 4-12 Social Studies 4-12 Spanish PK-12 Technology Education PK-12

Entry Term 2020 Summer 2020 Fall 2021 Spring 2021 Summer 2021 Fall 2022 Spring 2022 Summer 2022 Fall 2023 Spring 2023 Summer 2023 Fall 2024 Spring 2024 Summer 2024 Fall

Admit Type Undergraduate Freshman Undergraduate Transfer Undergraduate Non Degree Bachelor Completion Graduate Degree Seeking Program Graduate Non-Degree Program Early College Credit Program (ECCP) Senior Enrichment Program

Are you currently attending WTC (Western Technical College)?Yes No

2020FA Coming to Viterbo 2021FA coming to Viterbo ACT EOS Suspect to Prospect Conversion Admissions Adult Education Fair LAX Campus Adult Learning Inbox Adult,Graduate & International Adm. Inbox Advertisement AP Scores Application Import Application Import Athletic Event Invite Baku Tour Campus Visit Cappex Application Chamber Business Expo and Events Chat (Alive Chat) Chicago Scholars Classical Singer List Classical Singers Convention Clearing Coach Referral Colleague College Fair Community Colleges/UW-Colleges Conferences and Conventions (WSNA, WNA, the CJ Conventions etc.) Converge Corporate Contact Crossing Rivers Health Open House Diocesan High School Students Dubai Tour Education Fairs Hospitals and Businesses Email to Grad Admissions email to program Engineering Student Day Event Registration Expo- Chamber La Crosse Fafsa Fine Arts Youth Mailing List Franciscan CORE Front Rush Fundraising Activity Golf Grad - Career/Grad Fair or Presentation Grad Information Session (On-site) GRE Score Report GRE Search GRE Search Service Group visit Health Science Academy High School Transcript High School Visit Hmong Recruitment Hospital Education Fairs Hospital Information Sessions Hospital Visit India/Nepal Tour Inquiry Carnegie Internal Application Iowa Area Education Agency (AEA) Event ISN Recruitment Tour Jail Association Conference Latin American Tour Lincoln Names Import List - DSPS List - MDR Mailing List MAT Score Report Military College Fair Naviance Import Niche North Texas Drama Auditions NRCCUA 2017 Convert Suspect to Prospect NRCCUA 20182019 CONVERSION NRCCUA DECLARED Import Nurses Day at the Capitol (the Nursing Expo is already a source) Nursing Expo Online Application Online Event Registration Online Event Registration - 1 - duplicate don't use Online Event Registration - 2 - Duplicate don't use Originated in the ERP Other Paper App Parchment Analyze Partner Development - Iowa Pay Per Click PC&U Carnegie Communications Personal Initiative Phase 3 Phone Call to Program Phone Inquiry Plattform Pre-Health Exploration Day Previously received undergraduate degree at Viterbo Private College Week Private College Week-Inquiry Prospect Import - Cappex Prospect Import - College Fair Prospect Import - Common Application Prospect Import - Common Application Prospect Import - Common Application Transfer Prospect Import - General PVA FAIR Reach Local Recruitment Activities Referral Referral - Alumni Registrar Transfer Related Prospect's Application Salesforce SAT College Board Suspect to Prospect SAT Score Report Search Engine Optimization SNA Presentation Southeast Asian Recruitment Southeast Tour Student Nursing Association Suspect Conversion Suspect Import - ACT Enroll Suspect Import - ACT EOS Suspect Import - ACT EOS December Suspect Import - ACT Plan Suspect Import - College Board Suspect Import - College Bound Selection Service Suspect Import - Encoura Suspect Import - NRCCUA SWACHE Events Technical College Test Score Import Test Score Import Test Score Import - ACT Test Score Import - ACT December Test Score Import - College Board Test Score Import - GMAT Test Score Import - GRE Test Score Import - LSAT Test Score Import - LSAT Test Score Import - MAT Test Score Import - TOEFL Test Score Import - TOEFL Text Message For Scholarship Theatre Audition Online Registration Theatre Festival Nebraska Thespian Festival Texas Track and Field Import Transfer Fairs & Job Fairs Transfer Times Import UG Free T-Shirt Request UG Transfer Registration Form UG: Opera/Music Theatre Scenes Workshop UG: PR Fair University Website UWL Self Sufficiency Program V45 - AGI - ISN Education Fair V45 - AL - Presentation (classroom, student org, etc.) V45 - CAL - FVTC V45 - CAL - Mercy Hospital V45 - CAL Adult ED Fair V45 - CAL Janesville V45 - CAL Milwaukee V45 - CAL NICC V45 - CAL Racine V45 - CAL St. Francis V45 - CAL WCTC Nursing V45 - GRED - Education Sector Fair V45 - GRED - Info Meeting - Iowa V45 - GRED - Prior Application on file V45 - GRED - Prior Program Completer Viterbo University Scholarship Application Web Inquiry Web, Agent Application Web, Create Account Web, Inquiry Web, Update Profile WI Theatre Festival WSMA Honors Choir WTC: Classroom Visit WTC: Individual Visit WTC: Open House WTC: Veteran Center Visit Yellow Ribbon Recruiting Event You Visit Participant (Took Virtual Tour) Zoom Info Session : Grad Ed IA Zoom Info Session : Grad Ed WI Zoom Info Session : Grad MBA & Servant Leadership Zoom Info Session : Grad Mental Health Programs Zoom Info Session : Grad Nursing Zoom Info Session : Grad Nutrition

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