Data Name |
Data Type |
Options |
Student Birthdate* | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Email | Text Box | |
Phone (home) | Text Box | |
Phone (mobile) | Text Box | |
City | Text Box | |
Region | Text Box | |
Country | Text Box | |
Postcode | Text Box | |
Gender | Text Box | |
| dropdown | |
| dropdown | |
| dropdown | |
Country | dropdown | |
Region | dropdown | |
Student Primary Citizenship* | dropdown | |
Freshman | option | AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas Is |
Transfer | option | Freshman |
Intended Start Term* | dropdown | |
Intended Start Term* | dropdown | |
Level of Study | dropdown | |
Student Cell Phone | tel | |
Student Home Phone | tel | |
Female | option | Sex |
Male | option | Female |
What are your gender pronouns?(For use in communication with students and parents/guardians.) | dropdown | |
Yes | option | He/him/hisShe/her/hersThey/them/theirPrefer not to answerAre you Hispanic or Latino? |
No | option | Yes |
American Indian or Alaska Native | checklist | NoRegardless of your answer to the prior question, please select one or more of the following ethnicities that best describes you: |
Asian | checklist | American Indian or Alaska Native |
Black or African American | checklist | Asian |
Native Hawaiian or Other Pacific | checklist | Black or African American |
White | checklist | Native Hawaiian or Other Pacific |
Academic Interest - First Choice* | dropdown | |
Academic Interest - Second Choice | dropdown | |
Pre-Professional Interest (if applicable) | dropdown | |
Yes | option | Pre-DentalPre-HealthPre-LawPre-MedicalPre-NursingPre-Physician AssistantWould you like to provide up to five activities or extracurricular interests?* |
No | option | Yes |
Academic Clubs | checklist | NoExtracurricular Interests |
Campus Ministry, Interfaith & Retreats | checklist | Academic Clubs |
Cheerleading & Dance Team | checklist | Campus Ministry, Interfaith & Retreats |
Club Sports & Intramurals | checklist | Cheerleading & Dance Team |
Community Service & Social Justice | checklist | Club Sports & Intramurals |
Environment & Sustainability | checklist | Community Service & Social Justice |
Fine Arts | checklist | Environment & Sustainability |
Fitness, Health & Wellness | checklist | Fine Arts |
Internships, Fellowships & Research | checklist | Fitness, Health & Wellness |
LGBTQIA+ Initiatives | checklist | Internships, Fellowships & Research |
Media | checklist | LGBTQIA+ Initiatives |
Multicultural Engagement | checklist | Media |
Music & Performance Arts | checklist | Multicultural Engagement |
Political & Social Activism | checklist | Music & Performance Arts |
ROTC | checklist | Political & Social Activism |
Student Government | checklist | ROTC |
Study Abroad | checklist | Student Government |
Theatre | checklist | Study Abroad |
Tour Guide & Student Ambassador | checklist | Theatre |
Yes | option | Tour Guide & Student AmbassadorParent/Legal Guardian Contact InformationWould you like to provide contact information for a parent/legal guardian to receive important updates from Loyola?* |
No | option | Yes |
Parent/Guardian Relationship* | dropdown | |
Yes | option | Would you like to provide contact information for another parent/legal guardian?* |
No | option | Yes |
Parent/Guardian Relationship* | dropdown | |