Address Line 1
Address Line 2
If you live in Illinois please select the county where you reside.
Primary Phone Number
Confirm Email Address
Have you ever served in the Armed Forces?
Which branch of the Armed Forces did you serve?
Do you plan to draw from VA benefits while at Judson?
Social Security Number
Visa Type (if not a citizen of the United States)
What is your religion/denomination?
Do you regularly attend church?
Most Recent College
Enter most recent college information.
Second Most Recent College
Enter the second most recent college information.
Current Employer Name
Current Employer Address Line
Current Employer City
Current Employer State
Current Employer Zip Code
Current Employment Start Date
Current Employment Status
Current Employment Position
Previous Employer Name
Previous Employer Address Line
Previous Employer City
Previous Employer State
Previous Employer Zip Code
Previous Employment Start Date
Previous Employment End Date
Previous Employment Status
Previous Employment Position
Planned enrollment session.
Planned enrollment year.
Do you plan to graduate from Judson University?
Will you apply for Financial Aid? (If "yes," please contact the Financial Aid Office for more information:847-628-2530.)
Will your employer provide financial assistance for degree study?
Please choose from these selections