Information Request Form

Thank you for your interest in the arts at Penn State. Please complete the form below to have additional information mailed to you about the program(s) of your choice.

Todays Date:

First Name: *

Last Name: *

Street Adress: *

City: *

State: *

Zip Code: *

Phone Number:

Please enter 4 digit area code with a 7 digit phone number
Example: (555)555-5555

E-mail Adress: *

Date of Birth:

Year of High School Graduation:

Current High School/College Name:

High School/College City:

High School/College State:

High School/College Zip Code:

How did you hear about us?

Check all that apply: *

High School Visit

Spend a Summer Day

Postcard (from Admissions)

Postcard (from our College)

Alumnus

Current Student

College Fair

Other

Specify if you chose other:

I would like information about

Information about Undergraduate or Graduate Programs:

Undergraduate

Graduate

Select programs you would like information on:

Architecture

Art History

Integrative Arts

Landscape Architecture

Musical Theatre

Theatre

Visual Arts

Music