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The College of Graduate and Continuing Education
for Adult Students


Admissions Information Request Form

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: dhcadmission@scranton.edu.

Please fill in the form as completely as possible and click on the "submit" button to send your request to the Adult Admissions Office. Thank you.


* Required Fields

Application Type: *
New Freshman
Transfer

Term you expect to enter: *


Last Name: *

First Name: *

MI:


Birthday:

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Address 1:*

Address 2:

City: *

State: *

Zip: *

Phone: (no hyphens) Area Code: Number:

E-Mail Address: *


Intended Major (1st Choice)

 

Intended Major (2nd Choice)


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