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parent inquiry form  

First Name:

Last Name/Family Name:

Child's Full Name:


Address Line 1:

Address Line 2:

City:

State:

Zip/Postal Code:

Country:

Telephone:

Email address:


Your child plans to study:

Please select what you need from the menu below:    

(Select all that applies by holding down the CTRL key when you make the selections)

If this is the first time, you are requesting information from Philadelphia University, please complete the following information before submitting this form.


He/She will be a: student.


He/She will be a:  

He/She will:

High School:
  
Year of Graduation:

High School City:
  
CEEB Code:

SAT Critical Reading score:

SAT Math score:

SAT Writing score:
  
Cumulative High School GPA:
 

Is he/she are planning to take SATs at a later date, please type in the test date:
Total ACT score:
TOEFL score:
I will enter in:


Send me information about scholarships and grants: Yes No

Comments: