Request Information Form

* denotes a required field

*First Name

*Last Name

*Email Address

*Date of Birth

Would you like to receive mailings from Mount Saint Mary College?

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

Would you like to receive text messages from the Mount about important deadlines and event information? (SMS message and data rates may apply.)

Are you active duty and/or a veteran student?

I am a prospective... *

First-time, full-time student, no previous college attendance or military service

Anticipated Start Term

Intended Major

Has completed college coursework after the graduation of high-school

Anticipated Start Term

Intended Major

Would like to attend courses in an accelerated evening format.

Anticipated Start Term

Intended Major

I have earned or will earn a Bachelor's level degree

Intended Major

Anticipated Start Term

Please provide your primary Family/Guardian contact information below:

Relationship Type

Relationship First Name

Relationship Last Name

Relationship Email

Relationship Mobile Phone

Would the above contact like to receive text messages from the Mount about important deadlines and event information? (SMS message and data rates may apply.)

Are you interested in playing an intercollegiate sport at Mount Saint Mary College?

Please choose an intercollegiate sport from the list below.