Carnegie Student - Request for Information

Thank you for your interest in Georgia State University. We'd love to welcome you to our Panther Family! Please complete the below form to join our mailing list and receive updates regarding admissions information.

Required fields are denoted by an asterisk(*).

Student Information

First Name *

Middle Name

Last Name *

Birthdate *

Gender

Race

Phone Number

Are you of Hispanic/Latino origin?

Yes

No

What is your citizenship status?

Contact Information

Email Address *

Would you like to receive text messages from Georgia State?

Yes

No

Mobile Phone*

Mailing Address *

Country

Street

City

Region

Postal Code

Enrollment Information

Desired Degree: *

Associate Degree (Perimeter College Campuses)

Bachelor's Degree (Atlanta Campus)

Desired Student Type:*

Desired Entry Term:*

Are you interested in associate programs at Perimeter College campuses too?

Yes

No

Are you interested in bachelor's programs at Atlanta campus too?

Yes

No

Desired PC Campus*

Desired ATL Campus*

Academic Interest (hold Ctrl to select multiple)
For a full list of our pathways please see our Admissions Website

Academic Interest (hold Ctrl to select multiple)
For a full list of our majors please see our Admissions Website

Search for your School *

School CEEB Code

High School Graduation Month and Year*

Level of Study

Are you interested in the Honors College?

Yes

No

GPA (Based on 4.0 Scale)

ACT Math Score

ACT English Score

ACT Composite Score

SAT Math Score

SAT Reading Score

SAT Composite Score

Additional Information

Are you the first person to attend college in your immediate family?*

Yes

No

Are you currently active duty, a veteran, a member of the National Guard, or a Reservist in the U.S. Armed Forces?

Yes

No

Are you the spouse or dependent child under the age of 24 of someone who is currently active duty, a veteran, or a member of the National Guard?

Yes

No

How did you learn about Georgia State University? (hold Ctrl to select multiple)

Do you want your parent/guardian to receive information from Georgia State University?

Yes

No

Parent/Guardian Information

Relationship to the Student:

Parent's First Name:

Parent's Last Name:

Parent's Email Address:

Who is completing this form?*