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Information Request Form

Prospective students may apply online through the Graduate School at the College of Charleston.

Please fill out this form if you would like to have information regarding the EVSS program and an application sent to you by mail or if you have questions/comments regarding the program. Further information may be obtained by contacting the EVSS Program Office at 843.953.2000 or at this e-mail address.

Name and Contact Information

First Name

Last Name

Verify Email

Street Address

City

State or Province

Zip/Postal Code

Country

Program Information

Anticipated Start Term

Anticipated Start Year

Anticipated Degree

Anticipated Major/Program

Anticipated Certificate Program

How did you first find out about us?

If Other, please explain

Optional Information

Birthdate (mm/dd/yyyy)

Gender

Home Phone

Mobile Phone

Are you Hispanic?

YesNo

Regardless of your answer to the prior question please indicate how you identify yourself.
(Choose one or more)

To pick more than one
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Mac: Command Click

Additional Comments, Questions, or Requests

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Information Request Form

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