University of South Carolina Sumter

Prospective Student Information Request Form

Prospective Student Information Request

If you would like more information about the University of South Carolina Sumter, please fill out this form and submit it to us electronically. You will receive an information packet from us within a week.

How may we contact you?

Name: Mr. Mrs. Miss Ms.

First: Middle: Initial:

Last:

Social Security Number: - -

Birthdate: mm/dd/yyyy / /

Address:

City:

State: ZIP: -

Phone number (including area code): - -

Email address (if available):

What is your academic background?

High school graduation year:

High School name:

City: State (or Country):

Academic/Other Interests:

Previous Colleges/Universities:

Information Desired

What information would you like to receive? (check all that apply)

Admissions Application

Scholarship and Financial Aid information

Class schedule

Other:

Do you plan to attend USC Sumter?

Very likely Likely Unlikely Don't know yet

The University of South Carolina System provides affirmative action and equal opportunity in educationand employment for all qualified persons regardless of race, color, religion, gender, national origin, age, disability, or veteran status. USC Sumter may need to obtain additional information from previous schools concerning academic and conduct record.

Go to the USC Sumter Homepage

Last modified Thursday April 29, 2004

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