This website uses scripting to enhance your browsing experience.
Enable JavaScript
in your browser and then reload this website.
This website uses resources that are being blocked by your network. Contact your network administrator for more information.
College of Professional Advancement - Request for Information
Loading...
Thank you for your interest in Mercer University. Please answer the questions on this page to allow us to better communicate with you and provide you with information. For efficient processing, please fill out as much information as possible. An asterisk (*) denotes a required field.
Basic Information
First Name*
Middle Name
Last Name*
Date of Birth*
Date of Birth*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Contact Information
E-mail Address*
Mobile Phone
Would you like to receive text message communication from Mercer?
Would you like to receive text message communication from Mercer?
Yes
No
Mailing Address*
Mailing Address*
Country
Street
City
Region
Postal Code
What is your preferred method of contact?
Email
Phone
Text
What is your preferred time of contact?
8am-12pm
12pm-4pm
4pm-8pm
Enrollment Information
Level of Study:*
Undergraduate
Graduate
Academic Interest*
Change Leadership - Organizational Leadership, B.S.
Communication, B.A.
Community/Civic Engagement - Organizational Leadership, B.S.
Criminal Justice Leadership, B.S.
Digital Media Communication - Communication, B.A.
Family Services - Human Services, B.S.
Gerontology Services - Human Services, B.S.
Global Communication - Organizational Leadership, B.S.
Health Informatics, B.S.
Healthcare Leadership, B.S.
History - Liberal Studies, B.A.
Homeland Security and Emergency Management, B.S.
Human Resources Administration and Talent Development, B.S.
Human Services, B.S.
Information Technology and Informatics, B.S.
Liberal Studies, B.A.
Literature - Liberal Studies, B.A.
Mental Health Services - Human Services, B.S.
Organizational Communication - Communication, B.A.
Organizational Leadership, B.S.
Pre-ABSN, Non-Degree Program
Pre-Law Studies - Liberal Studies, B.A.
Pre-Nursing, Non-Degree Program
Pre-Pharmacy, Non-Degree Program
Psychology, B.S.
Public Relations - Communication, B.A.
Religious Studies - Liberal Studies, B.A.
Self-Designed Major - Liberal Studies, B.A.
Social Services - Human Services, B.S.
Software Application Development and Human-Computer Interaction, B.S.
Substance Abuse Services - Human Services, B.S.
Women in Leadership - Organizational Leadership, B.S.
Writing - Liberal Studies, B.A.
Non-Degree Undergraduate
Transient Undergraduate
Undecided
Location of Interest:*
Online
Atlanta
Douglas County (Lithia Springs)
Henry County (McDonough)
Macon
Anticipated Term of Entry:*
Spring 2020 Session I (January)
Spring 2020 Session II (March)
Summer 2020 (May)
Fall 2020 Session I (August)
Fall 2020 Session II (October)
Spring 2021 Session I (January)
Spring 2021 Session II (March)
Summer 2021 (May)
Fall 2021 Session I (August)
Fall 2021 Session II (October)
Spring 2022 Session I (January)
Spring 2022 Session II (March)
Summer 2022 (May)
Fall 2022 Session I (August)
Fall 2022 Session II (October)
Spring 2023 Session I (January)
Spring 2023 Session II (March)
Summer 2023 (May)
Fall 2023 Session I (August)
Fall 2023 Session II (October)
Spring 2024 Session I (January)
Spring 2024 Session II (March)
Summer 2024 (May)
Fall 2024 Session I (August)
Fall 2024 Session II (October)
Academic Interest*
Applied Data Intelligence and Machine Learning, M.S.
Child and Adolescent Services - Human Services, M.S.
Clinical Mental Health Counseling, M.S.
Clinical Mental Health Counseling, M.S. (Non-Degree)
Clinical Mental Health Counseling, M.S./Master of Divinity (Combined Degree)
Clinical Mental Health Counseling, M.S./Master of Theological Studies (Combined Degree)
Clinical Rehabilitation Counseling, M.S.
Clinical Rehabilitation Counseling, M.S. (Non-Degree)
Counselor Education and Supervision, Ph.D.
Criminal Justice and Public Safety Leadership, M.S.
Gerontology Services - Human Services, M.S.
Health Informatics Certificate
Health Informatics, M.S.
Health Informatics, M.S./Doctor of Pharmacy (Combined Degree)
Healthcare Leadership - Organizational Leadership, M.S.
Human Services Administration, M.S.
Nonprofit Leadership - Organizational Leadership, M.S.
Organizational Development - Organizational Leadership, M.S.
Organizational Leadership, M.S./Master of Arts in Christian Ministry (Combined Degree)
Organizational Leadership, M.S./Master of Divinity (Combined Degree)
School Counseling, M.S.
School Counseling, M.S. (Non-Degree)
Substance Abuse Counseling Certificate
Undecided
Location of Interest:*
Atlanta
Henry County (McDonough)
Macon
Online
Anticipated Term of Entry:*
Spring 2020 (January)
Spring 2020 Session I (January)
Spring 2020 Session II (March)
Summer 2020 (May)
Fall 2020 (August)
Fall 2020 Session I (August)
Fall 2020 Session II (October)
Spring 2021 (January)
Spring 2021 Session I (January)
Spring 2021 Session II (March)
Summer 2021 (May)
Fall 2021 (August)
Fall 2021 Session I (August)
Fall 2021 Session II (October)
Spring 2022 (January)
Spring 2022 Session I (January)
Spring 2022 Session II (March)
Summer 2022 (May)
Fall 2022 (August)
Fall 2022 Session I (August)
Fall 2022 Session II (October)
Spring 2023 (January)
Spring 2023 Session I (January)
Spring 2023 Session II (March)
Summer 2023 (May)
Fall 2023 (August)
Fall 2023 Session I (August)
Fall 2023 Session II (October)
Spring 2024 (January)
Spring 2024 Session I (January)
Spring 2024 Session II (March)
Summer 2024 (May)
Fall 2024 (August)
Fall 2024 Session I (August)
Fall 2024 Session II (October)
Questions/Comments:
Lead Status
Attended Individual Meeting
Attended Information Session
Campaign Opt-Out
Closed Inq_Pros Attends Other Institution
Closed Inq_Pros DNC List
Closed Inq_Pros No Contact Info
Closed Inq_Pros Non-Responsive
Closed Inq_Pros Not Interested
Closed Inq_Pros Not Qualified
Closed Inq_Pros Other
Closed Inq_Pros Program Not Offered
Closed Inq_Pros Relocated
Contacted 1 No Response
Contacted 2 No Response
Contacted 3 No Response
Contacted Inquiry
E-mail 1 No Response
E-mail 2 No Response
E-mail 3 No Response
New Inquiry
No-show
No-show Non-responsive
Prospect Final Stage
Prospect Final Stage Non-responsive
Scheduled for Individual Meeting
Scheduled for Information Session
Shopper
Shopper-Non-responsive
Working Prospect
Submit
1501 Mercer University Drive
Macon, GA 31207
3001 Mercer University Drive
Atlanta, GA 30341
1250 East 66th Street
Savannah, GA 31404
Columbus
Douglas County
Henry County
Warner Robins
1-800-MERCER-U
©
2024 Mercer University All rights reserved
Federal Disclosure
Accessibility
Privacy Policy
Academics
Admissions
Student Life
About Mercer
Alumni
Athletics
Giving
Popular Links
Academic Calendars
Campuses & Centers
Community Engagement
Contacts
Human Resources / Employment
Marketing Communications
Mercer Mobile
Registrar
University Calendar
Account Logins
Email
MyMercer
Canvas
WebEx
Academics
Liberal Arts
Business & Economics
Engineering
Education
Music
Penfield
Law
Theology
Medicine
Pharmacy
Nursing
Health Professions
Working Adult Programs