Information Request

Please fill out the following form to receive more information.
'*' Indicates Required Fields

About You:

First Name:


Middle Name:

Last Name:



Street 1 and Apartment:


Street 2 (If necessary):



State :

* (Not required for foreign addresses)

Zip Code:


Country :


Date of Birth:

Home Phone :


Work Phone :


E-mail Address :

Best Way to Contact

Entry Term:

Student Type:


Possible Major 1:

Possible Major 2:

What prompted you to inquire about Brooklyn College?

About Your Education:

Please obtain the College Board code (high school or college code number) for your high school or college by going to the College Board site. Once you have your school number(s), please return to this site and enter the information below. 

List your most current or last high school or university/college:

High School Attended/Attending:

College Board code:

 Obtain the High School code for your high school:

University or College Attended/Attending:

College Board code:

 Obtain the College Board code for your college:


Are you interested in the Honors program?

Yes No

(Please fill in, and note whether out of 4.0 or 5.0 total points.)

  Example: "3.5 out of 4.0"

Previous Honors Coursework