SCSU Undergraduate ~ Request For Information

Thank you for your interest in Southern Connecticut State University.

Just a friendly reminder: this form is not an admission application—it simply allows us to keep you updated on upcoming events and opportunities at Southern.

Graduate students please use the Graduate Request for Information Form.

* = Required fields

Student Information

First Name

Last Name

Suffix

Chosen First Name

Date of Birth

Contact Information

Email Address

Confirm Email

Mailing Address

Country

Street

City

Region

Postal Code

Would you like to be on our mailing list for information, event invitations, and more?
By providing your information, you agree that Southern Connecticut State University may contact you about educational programs and services via email, postal mail, SMS/text message, and other digital channels. Message and data rates may apply. You may withdraw your consent at any time by emailing admissions@southernct.edu or following the unsubscribe instructions included in our communications. By submitting, you also acknowledge that you have read and agree to Southern Connecticut State University’s Privacy Statements

Yes

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

Which activities are you interested in? (Select all that apply).

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email