First Name * Middle Name Last Name * Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * E-mail Address * Preferred Phone Number * Preferred Phone Number Home Mobile Work Other Phone Number Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007 Projected Start Semester Spring Summer Fall Projected Start Year * Please send information about the following program(s) and offerings: Associate Degree Programs Biomedical Engineering Technology Business Information Sciences & Technology Letters, Arts and Sciences Radiological Sciences Baccalaureate Degree Programs Administration of Justice Biobehavioral Health Business (options: Management & Marketing and Individualized Business) Communications (options: Corporate Communications and Journalism) Electro-Mechanical Engineering Technology Information Sciences & Technology Nursing (RN to BSN) Project & Supply Chain Management Psychology Bachelor of Arts Psychology Bachelor of Science Additional program(s) and offerings: The 2+2 Plan ASPIRE (Short for "A Scholarship Program Inspiring Responsible Economics," this is a Financial Aid program that educates our students on the importance of making healthy financial decisions.) Dual Enrollment (This program offers high school juniors and seniors the opportunity to take college courses at a discounted tuition rate.) Financial Aid information The GREAT Program (Short for "Growing Regional Excellence through Experience, Academics and Training," this is an experiential learning initiative for engineering and IST students.) Honors Program Additional Questions Is there is any other specific information you would like for us to send you? Please let us know. Math question * 4 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.