Admissions Information Request Form

If you graduated high school four or more years ago or have three or more years of active military duty, please fill out our adult information form

*Denotes Required Field

First Name* Middle Initial: 
Last Name*  
Address 1*
Address 2
City* State*:
Zip* Country:  
Phone: (999-888-7777) 
Gender:  Male  Female
Date of Birth (mm/dd/yyyy)*
Email Address*

Parent's Email: 

Expected Date of Entry* 2013  2014  2015 
Have you taken the SATs or ACTs* Yes  No

Are you a veteran*
Yes  No

Are you a reservist*?
Yes  No

Have you attended other post-secondary institutions?  Yes  No
If yes, Cumulative GPA:     
Number of  credits  attempted?    

Do you currently attend another Penn State campus? Yes  No 

Please check if you would like the following sent to you: 
Paper Application for Admission (please check only if you are unable to use the web application)
Financial Aid Information
Scholarship Information
Please choose the area(s) you intend to study:

Field of Study 1: 

Field of Study 2: 

Field of Study 3: 

Other Field of Study 
Please choose any other areas you would like information about:

Interest 1:

Interest 2:

Interest 3:

Questions or Comments:


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Updated July 18, 2005
© 2005 The Pennsylvania State University