SCSU Undergraduate Request For Information

Thank you for your interest in Southern Connecticut State University.

By completing the following information, we can easily keep in touch with you about upcoming events and opportunities at Southern.

Graduate students please use the Graduate Request for Information Form.

* = Required fields

Student Information

First Name

Preferred First Name

Last Name

Date of Birth

Contact Information

Email Address

Confirm Email Address

Would you like to be on our mailing list for event invitations and more?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

Student Type Selection:
-First-year student: This is my first semester studying at a college/university or I have earned 12 or fewer credits from attending another college/university before this.
-Transfer student: I earned college level credit after graduating high school or obtaining my GED.

Student Type

Anticipated Start Term

Intended Major

Last School Attended