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To receive future information from Clemson University, please complete the following form.

Required - indicates a required field.
Prospect Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Prospect Gender
Gender:Required Male Female Not Specified

Prospect Ethnicity/Race
Ethnicity:

Information Ethnicity is no longer used for state or federal reporting, only Race. You have the option to skip this section or select as many races that apply to you. If you report, please start with the Hispanic section first.

Hispanic or Latino
Not Hispanic or Latino

Note Please select one or more races that you consider yourself to be.

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
American Indian or Alaskan Native
Asian
Black or African-American
Native Hawaiian or Other Pacific Islander
White

Information Traditional students begin in the Fall; however, please select the term that matches your intended enrollment date.

For example: if you graduate high school in May 2013, you would select Fall 2013 as your intended enrollment date.

Prospect Entry Term
Term of Entry:Required

Prospect Student Type
Student Type:Required

Prospect High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:Required
Address Line 1:
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

*note: for the section below, if you are a transfer student, list your most recent college enrollment information.

Prospect Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

*note: Below is an abbreviated list of academic areas. Select a primary major for your related academic interests.

Prospect Major
Major:

Please select interest areas from the list below (Crtl + click to select multiple interests).

Prospect Interests
Interests:

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Release: 8.7.1