Graduate Inquiry Form

Personal Information

First Name

Last Name

Date of Birth

Email Address

Confirm Email Address

Program Interest

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By submitting the Inquiry form you agree that the information provided is complete and accurate to the best of your knowledge.

By submitting this form, you understand that Southern Connecticut State University will process and use your personal information for purposes of providing the requested information and for marketing purposes. You may opt-out of these communications at any time by contacting GradAdmissions@Southernct.edu.

Contact Information