EdCAP Information Request Form

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Currently we are not accepting new students for Spring.

EdCAP is currently revising our application packet. Informational emails will only include program information. Application information will be sent out to all interested students as soon as the new materials are ready.

If you want to attend an information session, please complete this form and note that you want to be informed when the next one is scheduled for (likely to begin again in May).

Potential student(s) name(s)

Potential Student's Date of Birth

YYYY

Student's personal email

Student Phone Number (please note if it's not the student's number)

Is it okay for us to text that number?
(If the device were to be obtained by another party, this could result in someone other than the student seeing personal information)

Yes

Clear selection

Please select all that apply

Please send me an informational email

I want to know about other pre-college programs

I want to schedule a meeting with someone to discuss my options

Please list any special questions or other comments you'd like to ask/bring to our attention

Submit

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