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Request Information

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Send Me More Information!

Welcome to the Admission information request form. If you are an undergraduate and would like to receive more information about Clarkson University through mail, we suggest you fill out the form below. If you are a graduate student who would like more information about Clarkson please go to the Graduate School form.

If you have any questions, please don't hesitate to call us at 1-800-527-6577. (This is not an application.)

(* designates a required field. You must provide this information.)

Personal Information
Salutation:
Student's First Name: * Student's Middle Name: Student's Last Name: *
Street Address: *
City: * State/Province: * Zip/Postal Code: *
Country: * County: *
Phone Number: E-mail Address: *
Date of Birth: U.S. Citizen/Permanent Resident:
/ / Yes No

Academic Information
Entry Level: * Expected Enrollment Date: *
Year:
Academic Interest: * (Please select one or more majors below)

Athletic Interests: Extra Curricular Interest: Extra Curricular Other:

Freshmen
Name of High School: Location of High School: Graduation Year:

Transfer
Name of Current/Most Recent College: Location of College: Expected Completion Date:

Additional Information
Please let us know if any members of your family have graduated from Clarkson.
Name: Relationship: Class Year:
Would you be interested in receiving Admissions information on any of the following devices:
(Please check all that apply)
Android Smartphone   Android Tablet
iPhone   iPad
Kindle Fire   Other:

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