You're In! Now Let's Get Ready for Penn College: A Virtual Information Session

Student First Name

Student Chosen First Name

Student Last Name

Student Mobile Phone Number

May we text you?

Yes

No

Student Home Phone

Student Email Address - Please use an email address you will continue to have access to until you officially start as a Penn College Wildcat. Many high schools will limit your access to emails from us, so we recommend using a personal email address, such as those available through Gmail or iCloud.

Birthdate

Parent Name

Mailing Address

Country

Street

City

Region

Postal Code

I am a prospective...

First Year Student

Graduate Student

Returning Student

Transfer Student

Most Recent College/University Attended

Do you have a degree?

Yes

No

High School/Secondary School Name

Graduation Month/Year

Do you currently attend a Career & Technology Center (CTC), BOCES, or Vo-Tech Program?

Yes

No

Career & Technology Center (CTC), BOCES, or Vo-Tech Name

Academic Interest

Intended Start

Academic Interest

Intended Start

Pennsylvania College of Technology encourages qualified persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation for this virtual session, please indicate below.

No

Yes

Type of Accommodation: