Request Information for US Residents

Please complete this form to request additional information about Colby and join our mailing list. (Applications will be mailed out to high school seniors before the start of the senior year.)

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:
Social Security Number: - -
Date of Birth:
e.g. MM/DD/YYYY 		/ /
Gender: Male
Female

Academic Information
Present 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:

Citizenship & Ethnicity
Type of Citizenship: U.S. Citizen
U.S./Dual Citizenship
Permanent Resident
Foreign
Country of Citizenship:
If you wish to be identified with a particular ethnic group, please check one of the following:
American Indian, Alaskan Native
Specify Tribal Affiliation:
Native Hawiian, Pacific Islander
Asian American, Asian (Including Indian subcontinent)
Specify Country:
Hispanic, Latino/a (including Puerto Rico)
Specify Country:
Mexican American, Mexican
African American, Black
White, Anglo, Caucasian
Other
Specify:

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


Request information about extracurricular interests:
Athletics:


Music:
Other:
Financial Aid Information: Yes     No
Comments or questions: