On-Line Inquiry Form - Undergraduate

If you would like more information about our programs or admissions process, please complete the form below. If you have questions regarding admissions you can 1-800-343-1257, or e-mail us at admissions@spfldcol.edu.

*First Name:
*Last Name:
Middle Initial:
High School Graduation Year:
High School Graduation Month:
	Are you a U.S. citizen/permanent resident? Yes No
	Address:
Street Address:
City:
State (US):
Zip:
Country:
*Telephone:
Fax:
*Email Address:
	Program of Interest:
Intended Entry:
Undergraduate Program of Interest:	Undergraduate Program of Interest:
Are you interested in Springfield College as a freshman or transfer student?	Are you interested in Springfield College as a freshman or transfer student?
Athletic Program of Interest:
If you chose "Other," please describe.	-If you chose "Other," please describe.
What most influenced this inquiry?
If you chose "Other," please describe.	-If you chose "Other," please describe.
Comment: (if any)
	Date Submitted: 05/19/2013 05:00 AM

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