Intent To Enroll

Students will be able to submit their intent to enroll or not enroll for a given semester.

Congratulations on your acceptance to Simmons College of Kentucky, America’s 107th designated HBCU! Please confirm your intent to enroll by completing and submitting the information below.
DATE:*
MM slash DD slash YYYY
NAME:*
First Last
ADDRESS:*
Street Address Address Line 2 City State ZIP Code
PHONE:*
Can we text you at this number?*
- YES
- NO
EMAIL:*
Enter Email Confirm Email
BIRTHDATE:*
MM slash DD slash YYYY
PLEASE SELECT ONE:*
- I will be enrolling in the current semester.
- I will not be enrolling in the current semester.
SEMESTER and YEAR*
*If you will not be enrolling in the current semester, please share with us why.*
*If you will not be enrolling in the current semester, please share with us why.
Comments
This field is for validation purposes and should be left unchanged.

Congratulations on your acceptance to Simmons College of Kentucky, America’s 107th designated HBCU! Please confirm your intent to enroll by completing and submitting the information below.