New York's Private Colleges & Universities

Request for College Information Form

Fill out this form to request admissions and financial aid information from colleges that interest you. After completing the form, click on SUBMIT at the bottom of this page to submit your form. We will forward your requests to the colleges as quickly as possible. If you prefer, print these pages and mail this form to: The Affordable Choice Program/CICU, 17 Elk St., PO Box 7289, Albany, NY 12224.

Please note: The information you provide on this form is forwarded only to the colleges and/or lenders you select.

Contact Information

First Name/MI:

Last Name:

Street Address:

Apartment:

City:

State:

Country:

ZIP (Postal Code):

Phone Number:
Please provide USA
phone numbers only.

Email: *

*Optional. We will use e-mail if we need to clarify information on your form. Also, some colleges contact students by e-mail. If your e-mail address is not available, we will contact you via US postal mail.

Other information about yourself

Gender:	Male Female
Date of birth:	Month: Day: Year:
Your High School (HS) or College attending or attended:
Date of your High School graduation:	Month: Year:
Date you wish to enter College: (Use Sept. for Fall, Jan. for Spring)	Month: Year:

Colleges and Universities

Important: Be sure to check each college's Campus Profile for application requirements, deadlines and enrollment information (coed vs. women-only colleges, for example). If the college you are interested in is not listed here, contact the college directly (see Campus Profiles) for links and contact information. We cannot process unreasonable requests (requests for information from more than 30 colleges). Please, select your colleges carefully.

Note: You can select multiple colleges on one form (please, no more than 30). You don't need to submit a separate form for each college.

Select the colleges you would like to know more about

Note degrees offered abbreviations listed in the table:
A = Associate Degrees / B = Bachelor's Degrees / G = Graduate Degrees (Master's, Doctorate, or First Professional)

Contact the Graduate-only colleges directly

What do you want to study?

Academic Programs
Select up to 3 academic programs you're interested in or select undecided if unsure.
No more than 3 academic programs will be submitted.

Type of Information you'd like to receive

Information from the colleges

I would like the colleges to send me information about:

	Undergraduate study (bachelor's or associate degrees)
	Transferring
	Financial aid
	Graduate study (master's or higher degrees)
	Other:

Information about paying and saving for college

To learn more about financial aid and college financing options from the sponsors of Your College Search and Affording College, check the box(es) next to the sponsor(s) from which you would like to receive more information:

Affordable Choice Outreach Programs
17 Elk Street, PO Box 7289, Albany, NY 12224
Phone: (518) 436-4781, Fax: (518) 433-8825 or (518) 436-0417
colleges@nycolleges.org
©1996-2008 Commission on Independent Colleges and Universities
www.nycolleges.org • www.cicu.org