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/Given Name

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

Mailing Name (This first name will be used for mailings that are sent to the entire household.)

Student's Last/Family Name

Student's Email Address

Student's Birthdate

Country of Citizenship

Do you have dual citizenship?

Yes

No

Country of Citizenship

Contact Information

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

I'd like to receive texts from Allegheny:

By submitting this consent, you are providing your express
written consent that Allegheny College may, directly or through third-parties
acting on its behalf, send marketing information regarding Allegheny and
your continuing education, including texts, e-mail, and calls made using an automated
dialing system to the number and email address that you provided above. Providing
this consent is not required to obtain any good or service.

Yes

No

Parent Email

hidden: set parent type

Parent Phone Number

Academic Information

You plan to enroll as a:

When do you plan to enroll?

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/secondary school?

High School CEEB Code: