Request More Information

We are pleased to provide you with valuable information about Alliant International University! In order to do so we need to gather a little information from you. Please take a moment to fill in the personal information in the fields listed below.

Special note: Your email address will serve as your ID for this site and should be a valid email address. To make it easy to use our site in the future, Alliant will use this address to assign you a user account and password.

Personal Information

Exact Legal Name

Last Name / Family Name / Surname *:

First Name*:

Middle Initial:

Birthdate*:

Month:

Day:

Year:

Email*:

Re-enter Email to Confirm*:

Street Address *:

City*:

State*:
(International Applicants, Select Non US State Option.)

Zip or Postal Code*:

Country*:

Primary Phone*:
(Not Required for International Applicants.)

Check box if this is an international phone number

Secondary Phone:

How do you want to be contacted ?

Military Affiliation:

How Did You Hear About Alliant?*:

Select Session You Are Interested In: *

Select The Year You Are Interested In: *

Program of study*:

Not Selected

If you have any questions about this page, please email admissions@alliant.edu