Request For Information

Bloomsburg, Lock Haven, and Mansfield Universities are collaborating to make a bold investment in you.

Academic Information

I will be a

Anticipated Start Term

What degree will you be pursuing?

What do you want to study? Please choose one.

This selection is available on the Bloomsburg Campus.

This selection is available on the Lock Haven Campus.

This selection is available on the Mansfield Campus.

Which campus(es) are you interested in?

Bloomsburg

Lock Haven- Main

Mansfield

Lock Haven- Clearfield

Tell Us About Yourself

First Name

Preferred Name

Middle Name (Initial)

Last Name

Email Address

Birthdate

Mobile Phone Number

May we communicate with you via your mobile phone (text messaging, mobile calls, etc.)?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Country of Citizenship

Current high school or most recent college (Please select your school from the list provided).

High School Graduation (Month/Year)

Do you have any questions for Admissions?

Yes

Please type your question here.