Thank you for participating in the VAN's High School Liaison Contact Program! We hear consistently that your outreach contributes to students' decisions to attend Valparaiso University.  Once we receive feedback from you about your conversations, the synopsis is entered into the student's file and is shared with the admission counselor working with that student.  We appreciate the time and effort you put into this program!

Your name

Your email

Student's Name

Student's Hometown and State
Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Date and Method of Contact
Select Method Phone Email In Person
With whom did you speak (e.g. student, parent, sibling)

Rate the student's interest in VU
Select Interest 1 - Yes 2 - Maybe 3 - No
If known, tell us the other colleges the student is considering

Is any specific follow-up needed (e.g. call from a financial aid counselor or professor)

Additional Comments