Bard Queer Leadership Project: Request More Information

Required fields are denoted by an asterisk (*)

Student First Name*

Student Last Name*

Student Email Address*

Student Date of Birth*

Pronouns

Country of Citizenship

Are you a first year or transfer student?

First year - I have not attended another college or university.

Transfer - I have attended or plan to attend another college or university.

When would you like to start at Simon's Rock?

Would you like to provide us additional contact information?

Yes! I'd like to provide my mailing address.

No, email is perfect.

What is your cell phone number?

Would you like to receive text messages about deadlines and admission events?

Yes

What is your mailing address?

Country

Street

City

Region

Postal Code