Request for Information

Thank you for your interest in Allegheny College!

Please fill out the form below if you are a prospective student interested in learning more about Allegheny College.

* Denotes a required field

Biographical Information

Student's First Name *

Student's Preferred Name (if different from first name)

Student's Last Name *

Student's Email Address *

Student's Birthdate *

Contact Information

Mailing Address*

Country
Street
City
Region
Postal Code

Mobile Phone Number

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Yes

Academic Information

You plan to enroll as a: *

What is your anticipated start term? *

What are you most interested in studying?

Do you have a second academic interest?

What is your second academic interest?

Do you have a third academic interest?

What is your third academic interest?

School Information

What is the name of your high school?

High School CEEB Code:

Additional Information

Do you have an Allegheny connection that you would like to share with us? *

Which best describes your Allegheny connection? *

Allegheny Connection's First Name *

Allegheny Connection's Last Name *

What is your relation to this connection? *