Request Information for US Residents

Please complete this form to request additional information about Colby and join our mailing list.

NOTE: This form is for US residents. If you are a not a US resident, please use the International Inquiry Form.


Your Student Status
First Year
Transfer
Year you plan to enroll at Colby:


Contact Information
Required fields are in bold.
First Name:
Middle Name:
Last Name:
Suffix:
Address 1:
Address 2:
City:
State:
ZIP Code:
Country: United States
(This page is for US inquiries--others use the International form.)
Phone Number: ( ) -
E-mail Address:
Date of Birth:
e.g. MM/DD/YYYY 		/ /
Gender: Male
Female
Type of Citizenship: U.S. Citizen
U.S./Dual Citizenship
Permanent Resident
Foreign
Country of Citizenship:


Academic Information
Secondary School:
School CEEB Code:   (numbers only, no dashes)
Search for Your School CEEB Code
High School Class Rank:   (please enter a number only)
High School Class Size:   (please enter a number only)
SAT Critical Reading:
SAT Math:
SAT Writing:
ACT Composite:


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Request information about academic interests (select up to 3 disciplines):


Request information about extracurricular interests:
Athletics:


Music:
Other:
Financial Aid Information: Yes     No
How did you hear about Colby?
Comments or questions:

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