Undergraduate Inquiry Form for Transfer Students

Personal Information

Legal First Name

Middle Initial

Legal Last Name

Preferred / Nickname

Gender

Birthday (please use format mm/dd/yyyy)

ADDRESS / CONTACT INFORMATION

Street Address (include apartment/building # if needed)

City

State

Zip Code

Cell Phone Number

Home Phone Number

Email Address

Academic Information

Current College Attended / Last College Attended

College City and State

Do you expect to have earned a degree prior to enrolling at Springfield College?

High School Attended

High School City and State

High School Graduation Year

UNDERGRADUATE PROGRAM OF INTEREST

Intended Entry Term

Undergraduate Program of Interest

Explore Undergraduate Admissions at Springfield College