Inquiry Form

Please fill out the following fields as completely as possible, so we will be able to process your request quickly.

- indicates a required field.

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Please provide your full legal name using both upper and lower case letters.


Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Nickname:

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Please indicate your current mailing address. Note: An UNTIL date is needed, only if the address provided is temporary.


Valid From:	Month Day Year (YYYY)
Until:	Month Day Year (YYYY)
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number:	- (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

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Please indicate your preferred email address.


E-mail Address:
Verify E-mail Address:

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Your birth date will only be used to help match records. This information will not affect future admission decisions.


Date of Birth:	Month Day Year (YYYY)

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When would you like to begin studying at Framingham State University?


Term of Entry:

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For graduate, undergraduate evening, and continuing education inquiries, please indicate your area of interest so we may send you materials about our programs.

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