Information Request

Please complete the form below to be added to our contact list. A majority of our communication is digital.

Alternatively, you may create your own custom digital viewbook to get more information right now!

Academic Information

Entry Term*

Fall terms begin in August.

Student Type*

First Year

Transfer

Intended Major*

Biological Information

First Name*

Middle Name

Last Name*

Suffix

Preferred First Name

Date of Birth*

Sex Assigned at Birth

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

Citizenship

Are you a United States Permanent Resident? (Green Card Holder)

Yes

No

Are you Hispanic or Latino? (optional)

Yes

No

Race (optional; select all that apply)

Contact Information

We highly encourage students to create a free web-based email account (such as Gmail, Yahoo, Hotmail, etc.) to use for their college search/application process, rather than using a school-based email address. School-based addresses often have deliverability issues, and are no longer accessible after graduation.

Email Address*

Confirm Email*

Parent/Guardian Email Address

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

High School Graduation Year

College/University Information

College/University Name*

College/University CEEB Code

Rensselaer Polytechnic Institute (RPI)

Information Request