Request For Information

Student Information

I will be applying as a(n):

Legal First / Given Name

Preferred First Name (only if different from First Name)

Middle Name

Last / Family / Surname(s)

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

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Yes

No

Your Education Level

I am currently working on, or have recently earned a:

Student Type

Pittsburg State University defines a First year/prospect student as:

Currently in high school, or
Recently graduated from high school or completed GED, or
Completed LESS than 24 college credit hours

Pittsburg State University defines a transfer student as someone who has completed more than 24 college credit hours after graduating from high school.

Pittsburg State University defines a graduate student as someone who is:

Seeking to complete a master’s degree, specialist in education degree, doctoral degree, or graduate certificate, or
Enrolled in advanced studies beyond a bachelor’s degree, or
Focused on specialized coursework, research, or professional development in a specific field

Pittsburg State University defines a non-degree seeking student as someone who is taking classes but is not pursuing a degree or certificate.

Education - High School Information

School Name Search (Name, City, CEEB): Please start typing your school's name or location and click on the result to populate the address information

If your school is not listed, please start by typing "Unlisted" in the field below. Please do not abbreviate.

School Code (This will populate once you select a school from the dropdown list above)

Attention

Please select your institution from the dropdown list. If your institution is not listed, please indicate the type of institution you are attending by typing in "Unlisted" in the search box.

Education - College Information

School Name Search (Name, City, CEEB): Please start typing your school's name and click on the result to populate the address information

If your school is not listed, please start by typing "Unlisted" in the field below. Please do not abbreviate.

School Code (This will populate once you select a school from the dropdown list above)

Attention

Please select your institution from the dropdown list. If your institution is not listed, please indicate the type of institution you are attending by typing in "Unlisted" in the search box.

Start Term

Anticipated Start Term

Primary Program of Interest

What type of program are you interested in?

Program Category

Program

Do you have a secondary program of interest?

Secondary Program of Interest

What type of program are you interested in?

Program Category

Program

Please list any questions that we can address for you.