Transfer Marketing | Request for Information

Thank you for your interest in Roosevelt University. We are excited to share our story with you and look forward to working with you in the coming days. Please complete the following form in order to receive information regarding the admission process, our academic programs, financial assistance and life at Roosevelt.

Not a prospective student? Submit your questions to Roosevelt by completing the General Request Form.

First Name*

Last Name*

Birthdate*

Email Address*

Preferred Phone Number

Address

Country

Street

City

Region

Postal Code

As which of the following student types do you plan to enter Roosevelt?*

Anticipated Entry Term*

Academic Program of Interest*