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Inquiry Form

 

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Information Please enter your information in the following forms.

Required - indicates a required field.
Name
First Name: Required
Middle Name:
Last Name: Required

Birthdate
Date of Birth:Required Month Day Year (YYYY)

Gender
Gender:Required Male Female Not Specified

Information Please select the appropriate term you are interested in attending from the pull-down menu.

Entry Term
Term of Entry:Required

Information Please select the student type that best describes your college plans. FT= full time and PT= part time.

Student Type
Student Type:

Ethnicity/Race
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

Note Select one or more races to indicate what you consider yourself to be.

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
American Indian or Alaska Nati
Asian
Black or African American
Native Hawaiian or Other Pacif
White

Information If you are applying as a U.S. Citizen please select "Citizen" from the pull-down menu.

Citizenship
Citizenship:Required

Information If you are enrolling as an international student please complete the section below to the best of your ability.

International Info
Nation of Citizenship:
Nation of Birth:
Native Language:
Foreign SSN:

Information For Address Line 1, please enter street address or PO Box using upper and lower case letters. Please do not use dashes when entering telephone number. Example: 1112222.

Contact Information
Address Line 1:Required
Address Line 2:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Home Phone: -

  For United States phone numbers: (Area- XXX) (Phone- XXXXXXX) (Extension - (if applicable) XXXXXXXX).

InformationPlease enter complete email address. Example: Hofstra@Hofstra.edu.

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Information Please use the Look Up College Code button below to enter the information for your College/University. If you cannot locate your institution in the pull down menu, just leave this section blank.

Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

Information Please select the appropriate major interest from the pull-down menu.

Major of Interest
Major:

Information Please indicate any special interests you may have from the list below. If you are interested in receiving a University Bulletin or semester specific class schedule, please indicate such. To select multiple materials use Ctrl+Click for PC and Command+Click for Mac.

Interests
Interests:

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Release: 8.7.2.12