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Request For More Information
Prospective Students
   No e-mail address?
   If you don't have an e-mail address, please enter NA in field 5 or call the Admissions Office to request more information:
603-358-2276 or 800-572-1909
*
All fields marked with an * are required.
Student Information – no nicknames please
* 1 First Name
   2 Middle Name
* 3 Last Name
* 4 Date of Birth
Example: 12/12/1990
* 5 E-mail Address
No e-mail address? Enter: NA
   6 Phone Number
Example: 603-555-1212
* 7 I am interested in KSC as
First Year Student
Transfer Student
Readmitted Student
Foreign Student
Graduate Student
* 8 Semester I would like to begin attending KSC
* 9 Year of High School Graduation
* 10 I would describe myself as
Home Address
* 11 Street Address
* 12 City
* 13 State/Province
* 14 ZIP/Postal Code
If not applicable, enter: NA
   15 Country
Mailing Address – if different from above
   16 Mailing Address
   17 Mailing City
   18 Mailing State/Province
   19 Mailing ZIP/Postal Code
   20 Mailing Country
High School Information
* 21 Name of High School
* 22 High School City
* 23 High School State
* 24


Updated: June 8, 2007

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