Information Request Form

Please fill out the following form to receive more information.
'*' Indicates Required Fields

First Name:	*
Middle Name:
Last Name:	*
Address
Street 1 and Apartment :	*
Street 2 (If necessary) :
City:	*
State :	* (Not required for foreign addresses)
Zip Code:	*
Country :	*
Date of Birth:
Telephone:	xxx-xxxxxxx
E-mail Address :
Entry Term:
Student Type:	*
Interests 1:
Interests 2:
What prompted you to inquire about Brooklyn College?

Educational Background

Please obtain the College Board code (high school or college code number) for your high school or college by going to the College Board site. Once you have your school number(s), please return to this site and enter the information below.

List your most current or last high school or university/college:
High School Attended/Attending:
High School Name:
College Board code:	Obtain the College Board code for your high school:

University or College Attended:
University/College Name:
College Board code:	Obtain the College Board code for your college: