International Student Information Request Form

First Name

Last Name

Date of Birth (mm-dd-year)

Address

City

State

Zip/Postal Code

Country

Telephone Number

Country code, area code, phone number

Email:

Intended Start Date

Fall

Spring

Intended Major/Degree or Area of Interest:

If "Other", please specify

How did you hear about Penn State Scranton Programs?

Please send me:

Application

Financial Aid

Admissions Information

Please type any additional information or questions in the box below: