Pharmacy and Health Sciences Day

Student Information

Number of Guests Attending With You Note: This does not include additional visiting students. Each prospective student must register.

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Gender

Mailing Address

Country
Street
City
Region
Postal Code

Phone Number

Do you want to opt into text message communication?

Yes

No

Enter your mobile number to opt in to receive text messages from Drake (*Messaging & data rates apply)

Student Email Address

Parent / Guardian Email Address

Can we message you via social media?

Yes

No

Twitter

Snapchat

Term and School Information

Are you an international student?

Yes

No

Primary Citizenship

What Type of Student Are You?

Drake Intended Entry Term

Year of High School Graduation

High School Name (Please begin typing school name and then select from the suggested options)

High School Code

High School Address

Country
City
Region
Postal Code

Most recently attended college (Please begin typing school name and then select from the suggested options)

College Code

College Address

Country
City
Region
Postal Code

Interests and Tour Times

Part of our program features the chance to learn more about a specific academic area. Please choose that area below:

Thursday, November 9 - 1. Pre-Pharmacy

Thursday, November 9 - 2. Health Sciences

Thursday, November 9 - 3. Pre-Athletic Training

Thursday, November 9 - 4. Pre-Occupational Therapy

Thursday, November 9 - 5. Biology, Biochemistry Cell and Molecular Biology, or Chemistry

Thursday, November 9 - 6. Psychology or Neuroscience

Thursday, November 9 - 7. Environmental Science, Sustainability & Resilience

Thursday, November 9 - 8. Astronomy, Physics, or Pre-Engineering

Please let us know your academic program(s) of interest. (This may match the session you chose above.)

If you don't see your interest above please select other and enter your interest here

Tours are offered following the main program. Please indicate below if you are interested in a campus tour:

Thursday, November 9 at 02:45 PM - Campus Tour (Immediately follows program)

Additional Information

Do you need any special accommodations during your visit? (ADA, Dietary, etc.)

Yes

No

Please tell us what accommodations you will need

Legacy Information

Drake Legacy - Did a parent, grandparent or great-grandparent graduate from Drake?

Yes

No

Parent or Grandparent name at graduation

Parent or Grandparent Graduation Year

Signature

Who filled out this form?

Please enter your name

Accounting
Actuarial Science
Advertising
Anthropology and Sociology
Art History
Arts & Sciences Major with Law 3+3
Astronomy
Biochemistry, Cell, and Molecular Biology
Biology
Business Major with Law 3+3
Business Studies
Chemistry
Computer Science
Data Analytics (Business)
Data Analytics (Math)
Digital Media Production
Drawing
Economics
Elementary Teacher Education
English
Entrepreneurial Management
Environmental Science
Environmental Sustainability and Resilience
Finance
Fine Arts
Foreign Language
Graphic Design
Health Sciences
Health Sciences - Clincal & Applied
Health Sciences - Managment
Health Sciences Major with Law 3+3
History
Information Systems
International Business
International Relations
Journalism
Journalism Major with Law 3+3
Kinesiology
Law, Politics, and Society
Magazine Media
Management
Marketing
Mathematics
Mathematics Education (Secondary)
Music - Instrumental
Music - Instrumental with Elective Studies in Business
Music - Vocal
Music - Vocal with Elective Studies in Business
Music Education-Instrumental or Choral
Music with Jazz Studies Concentration
Musical Theatre
Neuroscience
News
Open / Undecided
Painting
Philosophy
Physics
Politics
Pre-Accounting
Pre-Athletic Training
Pre-Dental
Pre-Engineering
Pre-Law
Pre-Med
Pre-Nursing
Pre-Occupational Therapy
Pre-Pharmacy
Pre-Vet
Printmaking
Psychology
Public Relations
Quantitative Economics (Business)
Religion
Rhetoric and Communication Studies
Sculpture
Secondary Teacher Education
Sociology
Spanish
Strategic Political Communication
Theatre Acting
Theatre Arts
Theatre Arts with Teaching Certificate (BFA)
Theatre Design
Theatre Directing
Writing
Zoo and Conservation Science
Other