2020 - Request for Information - Undergraduate Students

Complete the information form below in order to receive information on our academic programs, upcoming events, visit opportunities, and more! Be sure to add admissions@fitchburgstate.edu and fitchburgstate@fitchburgstate.edu to your address book.

Personal Information

Email:

Cell Phone Number:

First Name:

Middle Name:

Last Name:

Birthdate:

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information:

I plan on enrolling as a:

Freshmen

Transfer

When do you plan on entering Fitchburg State?

What High School do you or did you attend?

High School CEEB Code

High School Graduation Month/Year

What is the current/most recent college you attend/attended?

College CEEB Code

I wish to learn about:

Day Classes

Evening/Hybrid Classes

Online Undergraduate Classes

What are your academic interests? Select all that apply.