All Hiram Students are issued a Banner ID number. If you have been issued your Banner ID number, please enter it now. If you do not know your Banner ID number, you may skip this box.
If you are an international student and are not able to enter your address in the format requested, please enter an "x" in all boxes (and choose any country) then enter your address below in the International Student Address box.
If you are an international student and were unable to properly enter your address above, you may use the provided space below to enter your address.
Please enter your age as of the date you are completing this application
If you are an international student and were unable to properly enter your phone number above, you may use the provided space below to enter your phone number.
You will be given the opportunity to register for your Hiram e-mail account at your orientation. If you have already done so, please enter your Hiram e-mail address now. Many important updates will come to you through your Hiram e-mail account. Your home e-mail will not be used for most College communications. If you have questions about your Hiram e-mail account please contact the Dray Computer Center at (330) 569-5313.
Please list an e-mail address you wish to be used for communications until your Hiram e-mail account is set up. This may be your home e-mail or any e-mail that will be a reliable way to send you updates until your have access to your Hiram e-mail.
Please indicate the class you will be entering in based on completed credit hours
Please choose the classification that best describes your status
Please list the person you would like our office to contact in the event of an emergency.
Please describe the relationship of the emergency contact to the student.
Please give the phone number where the emergency contact would be best reached in the event of an emergency.
If you are an international student and were unable to properly enter your emergency contact phone number above, you may use the provided space below to enter your emergency contact phone number.