Admissions Application Request - Main Form

Intro Tab
Introduction
Contact Information
Parent Tab
Academic Information
Additional Information

is required

is Required

Given/First Name
Family/Last Name
Preferred Name
Email Address
Date of Birth
Gender
Citizenship Status
Citizenship Country
Texting Opt In. (By selecting this option you are consenting to receive text messages from DIU, and you will ensure that your contact information held by DIU will be kept current.)

is Required

Home Address
Country
Street 1
Street 2
Street 3
City
State
Zip Code Zip Code Extension
Province
Postal Code
Home Phone Home Phone Area Code Home Phone Exchange Home Phone Number Home Phone Extension Ext:
International Phone Number International Phone Number Extension Ext:
US Cell Phone US Cell Phone Area Code US Cell Phone Exchange US Cell Phone Number US Cell Phone Extension Ext:
International Cell Phone International Cell Phone Extension Ext:

is Required

is Required

College/University Experience
Last High School Attended
Last College/University Attended
Choose a program of Study:
First term at Dallas Intl?

is Required

In what are you most interested?
Where did you hear about our school?
Please specify the particular materials, person, location or event from which you first heard about our school.
Comments, questions?

Previous
Next

Previous
Next