Personal Visit

Friday, September 11, 2026 at 9:00 AM until 10:00 AMEastern Daylight Time UTC -04:00

Zappala Campus Center - La Roche University
9000 Babcock Blvd
Pittsburgh, PA 15237
United States

If you have earned a bachelor’s degree in a program other than nursing and are interested in information on our Direct-Entry Masters of Nursing program, please contact Keith Perry kperry@crm.laroche.edu to schedule a campus visit. Please do not use this form.

Personal Information

Student First Name *

Student Last Name *

Suffix

Student Preferred First Name

Student Birthdate *

Gender *

Student Email Address *

Student Cell Phone Number *

Would you like to receive text messages? *

Student Mailing Address *

Country

Street

City

Region

Postal Code

How many guests (not including prospective student)? *

Do you have an accessibility need? *

Please provide a brief description

Enrollment Information

What kind of student are you? *

Freshman (currently in high school or recently graduated from high school and attending college for the first time or under 25 years old)
Transfer (attending another college and want to transfer over to La Roche or over 25 years old)
Graduate (already completed an undergraduate degree; looking for a graduate program)

Expected Enrollment Term *

Will you be a full-time or part-time student?

Intended Major

Has an athletic coach contacted you? *

Yes

Which athletic coach has contacted you? *

High School Information

Are you a home school student?

Yes

In the High School Name field below, please type in "969999" and select "Home School"

High School Name *

High School CEEB Code *

High School Graduation Year *

Parent/Guardian Information

Would you like to add parent information?

Yes

Please choose type *

First Name *

Last Name *

Cell Phone Number

Would your parent/guardian like to receive text messages?

Email Address *

Would you like to add another parent/guardian?

Please choose type *

First Name *

Last Name *

Cell Phone Number

Would your parent/guardian like to receive text messages?

Email Address *

Previous College/University Information

College/University Name *

College/University CEEB Code *