Providence Area Information Session

Attendee Information

I am a prospective....*

Desired Entry Term*

Fall terms begin in August.

Spring terms begin in January.

Intended Major*

Total Attendees (including registrant)*

Biological Information

First Name*

Middle Name

Last Name*

Date of Birth*

Gender

If you would like the opportunity, we invite you to share more about your gender identity.

Citizenship

Are you a United States Permanent Resident?

Yes

Are you Hispanic or Latino? (optional)

Yes

Race (optional, please select all that apply)

Contact Information

Email Address*

Confirm Email Address*

Parent/Guardian Email Address

Phone Number*

Cell Phone Number

I give permission to Rensselaer to send me important reminders via text messaging. (Standard message charges apply.)

Yes, I give permission

Permanent Address*

Country

Street

City

Region

Postal Code

High School Information

Please enter your High School Information below.
If you are Home Schooled, enter Home School Clearing House.

High School Name*

High School CEEB

Year of Graduation*

College/University Information

College/University Name*

College/University CEEB

Counselor Information

First Name

Last Name

School Name

Title

If you have any questions or concerns, please contact the Office of Undergraduate Admissions directly at admissions@rpi.edu.

Rensselaer Polytechnic Institute (RPI)

Providence Area Information Session