Pace University

If you are having difficulty submitting your request please email us at infoctr@pace.edu and provide us with your complete name, address, area of interest and the year in which you would like to begin your studies.

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Enter your name in the spaces provided below using both upper and lower case letters. Example: Jane Doe

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

Gender
Gender:	Male	Female	Not Specified

Date of Birth
Date of Birth:	Month Day Year (YYYY)

Enter address or PO Box using both upper and lower case letters. Do not use dashes when entering telephone number.

Mailing Address
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:

E-Mail Address
E-mail Address:
Verify E-mail Address:

Term of Entry
Term of Entry:

Student Type
Student Type:

Major
Major:

If you cannot find your High School in the menu below leave this section blank.

High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date:	Month Day Year (YYYY)
Class Rank and Size:	/ (must be numeric)
GPA:	(example: 9.99, or A+)

Interests
Interests:

How did you hear about Pace
How I Learned About Pace University:

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