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Discovery Program Interest Form
The Discovery Program gives you the opportunity to experience campus living, participate in a structured self-reflection program, engage in a variety of direct service-learning projects, and study abroad in Uganda for 4 weeks. Through this unique first-semester self-discovery program, you will reflect upon the pathways that may be best for you in pursuit of an undergraduate degree at Carlow University. Learn more at
www.carlow.edu/discovery
.
To indicate your interest in the program, please complete the brief form below.
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Student Information
First Name *
Middle Name
Last Name *
Birthdate *
Birthdate *
January
February
March
April
May
June
July
August
September
October
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December
1
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1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Are you a U.S. citizen or permanent resident? *
Are you a U.S. citizen or permanent resident? *
Yes
No
Since you indicated that you are not a U.S. citizen or permanent resident, please identify your primary country of citizenship:
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
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Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
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Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
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Ethiopia
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Faroe Islands
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Fiji
Finland
Foreign/Unknown
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French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
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Guinea
Guinea-Bissau
Guyana
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
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Kenya
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Kosovo
Kuwait
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Laos
Latvia
Lebanon
Lesotho
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Libya
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Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
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Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
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Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
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Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Tromelin Island
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Turkey
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Tuvalu
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Vanuatu
Vatican City
Venezuela
Vietnam
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Western Sahara
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Yugoslavia
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Contact Information
Email Address *
Phone Number (please include area code) *
Phone Number Type *
Mobile Phone
Home Phone
Permanent (Home) Address *
Permanent (Home) Address *
Country
Street
City
Region
Postal Code
Academic History
High School *
Begin typing to see a list of schools, and then click on your institution's name to populate the field.
High School CEEB
High School Graduation Year *
2029
2028
2027
2026
2025
2024
2023
2022
2021
Carlow Information
Student Type
First-Year Undergraduate (Currently Enrolled in High School)
College Transfer, Adult Learner, Degree Completion, or Second Bachelor's Degree
Graduate Student (Certificate, Master's, or Doctoral)
Which academic program might you be interested in pursuing? If you're unsure, select "Deciding." *
Art
Art Therapy Preparation
Art: Art Education Certification (PK-12)
Art: Art History
Art: Ceramics
Art: Graphic Design
Art: Media Arts and Animation
Art: Painting and Drawing
Behavioral Neuroscience: Neuropsychology
Behavioral Neuroscience: Neuroscience with Intraoperative Neurophysiological Monitoring
Biology
Biology: Cardiovascular Perfusion
Biology: Environmental Science and Management (3+2 Dual Degree with Duquesne Univ)
Biology: Human Biology
Business Management
Chemistry
Child Development Associate (CDA) Certificate
Communication
Communication: Advocacy and Social Change
Communication: Digital Media
Communication: Organizational Management
Computer Science
Computer Science: Data Science
Computer Science: Web Design
Creative Writing
Criminology
Criminology: Applied Criminal Justice
Deciding
Early Childhood Education (PK-4)
Early Childhood Education (PK-4) with Special Education certification
Early Development and Learning
English
Esports Business Management
Health Sciences: Pre-Occupational Therapy
Health Sciences: Pre-Physical Therapy
Health Sciences: Pre-Physician Assistant
Health Sciences: Pre-Speech-Language Pathology
Healthcare Data Analytics
Healthcare Management
Human Resource Management
Liberal Studies
Neurodiagnostic Technology (Associate Degree)
Nursing BSN
Practical Nurse Certificate
Psychology
Psychology: Child Development
Psychology: Counseling
Psychology: Crisis and Trauma
Psychology: Neuropsychology
Respiratory Therapy
Respiratory Therapy (Associate Degree)
Secondary Education: Biology
Secondary Education: Chemistry
Secondary Education: English
Secondary Education: Mathematics
Secondary Education: Social Studies
Social Work
Social Work: Crisis and Trauma
Social Work: Forensic Social Work
Social Work: Healthcare Social Work
Social Work: Restorative Justice
Special Education (PK-12)
Surgical Technology (Associate Degree)
Have you already been admitted to Carlow?
Yes
No
What most excites you about the Discovery Program? Check all that apply.
What most excites you about the Discovery Program? Check all that apply.
Being part of a living/learning community
Engaging in service-learning projects locally and internationally
Learning more about myself through a self-reflection program
Taking part in the 4-week study abroad experience in Uganda
What questions or concerns do you have about the Discovery Program, if any?
Submit
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