Interest Page 3.0

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Please fill out the fields below and submit the form. Some information is required and marked with asterisks. You will not be able to submit the form without filling the required fields. Please make sure that Email and Verify Email should match with each other.

Basic Information

Full Name

First Name *

Middle Name

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Country *

Phone *

- -

E-mail *

Verify E-mail

DOB *

Gender *

Ethnicity

Enrollment Information

Entry Term *

Primary Major Choice *

Academic Information

High School Name *

High School City *

High School State *

High School Code *

Find your code here.

Year of H.S. Graduation *

Standardized Test Taken

Score (Critical Reading and Math only)

Request More Information

I would like information on the following areas:

Academics	Financial Aid
Admissions	Honors Programs
Athletics	Residential Life/Campus Housing
Clubs and Organizations	Study Abroad
Disability Services

General Information

How did you hear about Queens College? *

Internet

Family or friend recommendation

College Fair

Mail

Guidance Counselor

Radio

Other

Which website?

How Did You Hear - Website Other

Which search engine?

How Did You Hear - Search Engine Other

How Did You Hear - College Fair Name

How Did You Hear - TV

How Did You Hear - Other General

Login Information

Password *

Verify Password

Hidden Attributes

High School GPA

High School Address2

High School Address1

High School Zip

Marketing Source

Select One
Google Search
Yahoo Search
Bing Search
Collegebound.net
Collegesurfing.com
Graduateguide.com
Gradschools.com
MyCollegeGuide.org
PrincetonReview.com
Petersons.com
Zinch.com
Other Website
92.3 Now
97.9 Mega
97.1 Hot 97
100.3 Z 100
1010 Wins am
101.9 RXP
103.5 KTU
105.1 Power 105
104.3 Q
106.7 Lite FM
Other Station