SCSU Early College Interest Form Thank you for your interest in Southern Connecticut State University Early College Program. The application will become available on May 16, 2023, by completing the following information, we can easily keep in touch with you about Early College Courses available to you. Loading...Student InformationFirst NamePreferred First NameLast NameDate of BirthDate of BirthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Student Contact InformationEmail AddressConfirm Email AddressCell PhoneWould you like to be on our mailing list for information, event invitations, and more?By providing your number, you consent to receive notifications from this organization. You may opt out of messaging at any time. Would you like to be on our mailing list for information, event invitations, and more?By providing your number, you consent to receive notifications from this organization. You may opt out of messaging at any time. YesNoOpt-in HIDDENOpt-in HIDDENYesNoMailing AddressMailing AddressCountryStreetCityRegionPostal CodeAcademic InformationName of Current High SchoolCEEB Code - HIDDENStudent Type - HiddenFirst YearHigh School - Early CollegeNew GraduateNon-DegreeNon-MatriculantPost-BaccalaureateReadmitTransferContinuing EducationAnticipated High School Graduation YearSubmit
