Delaware State University Student Information / Request Form

STUDENT INFORMATION / REQUEST FORM

OFFICE OF ADMISSIONS
1200 N. DuPont Hwy. • Dover, DE 19901-2277
(302) 857-6351 [1] or 6353 • Fax: (302) 857-6352 [2]
1-800-845-2544 [3] • E-mail: www.desu.edu [4]

I am a: *

Prospective Student

Guidance Counselor

Parent

My current level of interest is: *

I have applied / I will apply

DSU among my top 5 choices

Not sure if I will apply

Last Name: *

First Name: *

Middle Initial:

Date of Birth:

Month

Day

Year

Gender: *

Male

Female

Address1: *

Address2:

City *

State: *

Zip Code: *

Home Area Code:

Home Phone Number:

Cell Area Code:

Cell Phone Number:

Email Address: *

School Name: *

Current GPA:

Parent Email Address:

Transfer or HS: *

Transfer

High School

Graduation Date (Month/Year):

SAT or ACT Composite Score:

Expected Term of Enrollment: *

Intended Major: *

Minor:

Check If You Want Information About Any of the Following:

Name of Sport:

Other Activities/Organizations:

Source URL: http://desu.edu/delaware-state-university-student-information-request-form

Links:
[1] tel:(302) 857-6351
[2] tel:(302) 857-6352
[3] tel:1-800-545-2544
[4] http://www.desu.edu