Information Request Form

Personal Information

First Name

Preferred First Name

Middle Name

Last Name

Birthdate

Gender

Female

Male

Pronoun(s)

Please tell us your pronoun(s)

Citizenship

U.S. Permanent Resident?

Contact Information

Contact information is only used to help us get materials to the right place! Thank you for providing the best way to reach you.

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Cell Number (please include area code)

It is okay to share visit updates and other important information from York College with me via text message.

Academic Information

We want to tailor information so you're only getting what directly pertains to you. This section helps us know more about you.

I am a:

We love working with graduate students. Please complete our Graduate Inquiry Request Form here.

Program of Interest:

When do you plan to start college?

Current High School/College Information

Search for the school you most recently attended by name and select from the list in the field below.

Most Recently Attended School