Admissions-Request Information-Penn State Erie

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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: