Please complete this form, and we'll have Susquehanna University send you an admissions brochure right away. Items with an * are required fields.

*First Name

*Last Name

*Email Address

*Street Address Line 1

Street Address Line 2

*City

State

*Zip Code

*Country

Phone Number

*HS Grad Year

*HS GPA
conversion chart

*Academic Interest

Extracurricular Activities

*SAT Taken?

*SAT Total
(Math + Critical Reading)

*ACT Taken?

*ACT Total