SBU Information Request Form

Information Request Form

*Required Field
	I am a parent of a prospective student
	I am a prospective student
Student Information
*First Name		*MI	*Last Name
Name you go by if not first name
*Address
*City		*State		*Zip Code
*Phone Number
*Email Address

Academic Information
* High School
*City		*State
*Graduation Year	(expected date if not yet graduated)
Grade Point Average	(on a 4.0 scale)
Enter the following test scores if available:
ACT	(Required for Admission)
SAT-V
SAT-M