Alumni Interview Request Form

Please fill out the information below to request an interview with a Denison representative:

Gender  Male    Female  
Last Name    First Name    Middle Name    Prefer to be Called   
Date of Birth   
E-mail address:   
Address:    City:    State:    Zip:   
High School:    GPA:    SAT Critical Reading:    SAT Math:    ACT Composite:    Year of Graduation:   
Telephone number at this address:   
Cell Phone Number   
Academic Interests:   
Extracurricular Interests:   

PRIVACY STATEMENT:

At Denison University we respect your privacy. Any information you provide to us will be used solely for admissions purposes.

We are warned that email transmissions may not always be totally secure. Denison University will strive to protect your privacy. If you are concerned about privacy and confidentiality, you may call Connie Park with the Denison Alumni Recruitment Team (DART) in the Admissions Office at 740-587-6622.