Virtual Information Session: Medical Imaging

Do both the parent and student have an active StudentAid.gov account?

Yes

No

** BOTH Parent & Student should have an active StudentAid.gov account to participate in the session. **

If you need to create an account, visit https://studentaid.gov/fsa-id/create-account/. Please note, it can take 1-3 days for your account to be active and ready to use.

Student Information

First Name

Preferred Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Can we text you important updates?

Yes

No

Current School or University:

School CEEB Code **HIDDEN**

Program Information

Anticipated Student Type

Campus Interests

Bloomsburg

Lock Haven

Mansfield

Clearfield

Anticipated Start Term

Academic Interest

This selection is available at Bloomsburg.

This selection is available at Lock Haven.

This selection is available at Mansfield.

Parent/Supporter Information

First Name

Last Name

Phone

Email