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We're glad you have chosen to learn more about Queens as you search for the right college for you.  Please take a moment to tell us about yourself... At the end of the form, feel free to ask us any general or specific questions you have about Queens.
Note: Fields marked with an asterisk * are required.
 
*First name:
*(Preferred:)
Middle
Init.:
*Last name:
*Street Address:
*City:
*State:
*ZIP Code:
*Email address:
*Home Phone:
* Male
* Female
Date of Birth:
   (mm-dd-yyyy)
Cell Phone:
*High School:
 
*Year of Graduation:
    (yyyy)
GPA:
PSAT:
SAT:
PLAN:
ACT:
*My interest in Queens University of Charlotte is...
 One of my top choices
 I plan to apply
 One of several I am considering
 I am requesting initial information
*Intended area(s) of study:   (Please select at least one, or "undecided")
First Choice
Second Choice
Third Choice
Is there anything you would specifically like to ask us?