Admissions Information Request Form

Soc.Sec. Number:   
First Name:  Mid Init: 
Last Name:   
Address: 
City:  State:
Zipcode:  Country: 
Phone: 
High School Name: 
Gender:  Male  Female
Date of Birth: 
Email Address: 
Expected Date of Entry:  2003  2004  2005 
Taken 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?    
Name of College or Penn State Campus
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
Honors/Scholars Information
Advanced Placement Information

Major of Interest: 

Questions or Comments:
 


Web site contact: mea1@psu.edu
Updated July 18, 2005
© 2005 The Pennsylvania State University