Information request form for all programs

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Thank you for your interest in Point Park University. We welcome the opportunity to help you learn more about our wide range of academic programs. Complete the form below to receive more information.

Required fields are marked with an asterisk(*).

STUDENT INFO

First Name

Last Name

Street Address

City

State or Province

Zip/Postal Code

Country

Citizenship

U.S.Nonresident AlienResident Alien

Mobile Phone

Home Phone

PROGRAM INTEREST

Anticipated Start Term

FallSpringSummer

Anticipated Start Year

Course Load

Full time (12-18 credits per semester)Part time (11 or fewer credits per semester)

Program

Entry Level

Major of Interest

What school do you currently attend or did you most recently attend?

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How did you find out about us?

If Other, please explain

Additional Information

Additional Comments, Questions, or Requests

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