Information Request

If you wish to receive more information from the York College Admissions Office, please use the following form, or call (717) 849-1600 or 1-800-455-8018.

1. First Name:
2. Middle Initial:
3. Last Name:
4. Address:
5. City:
6. State:
7. Zip Code:
8. Country:
9. Telephone:
10. E-mail Address:
11. Date of Birth:
12. Major:
13. High School:
14. Year of High
School Graduation:
15. Transferring from another
college or university? 		Yes No
16. Ethnicity (optional): African-American:     American Indian:     Asian:
Caucasian/White:     Hispanic:     Multiracial:
Other: