Request for Information

About You

First Name

Preferred First Name (if different than First Name)

Last Name

Pronouns

Pronouns are the words we use to talk about a person when we’re not using their name. These might be they/them, he/him, she/her, or other pronouns. Learn more about why we collect pronouns and how they will be shared.

Birthdate

Are you an international student?

Yes

No

Country of Citizenship

Language Spoken at Home

Contact Information

Email Address

Phone Number

Is this a mobile phone number?

Yes

No

Would you like to receive SMS (text) messages about important news and deadlines?
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Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Academics

How do you plan to apply to PSU?

When do you plan to start at PSU?

Intended Major

Are you interested in applying to the Honors College?

Yes

No

Would you like to learn more about the Russian Flagship Program?

Yes

No

Are you interested in living on campus?

Yes

No

Current or Most Recent School Attended
(Start typing, then select your school from the options that appear below the text box)

CEEB