Florida - Polk State Lakeland Gateway High School Visit

Thursday, September 4, 2025 at 9:00 AM until 10:00 AMEastern Daylight Time UTC -04:00

Polk State Lakeland Gateway
3425 Winter Lake Rd
Lakeland, FL 33803
United States

Required fields are denoted with an asterisk (*)

Biographical Information

IMPORTANT: Please use only STUDENT information on this form unless it is a specified parent field (parent email). DO NOT use parent or guardian name or birthdate information on this form.

First Name*

Last Name*

Preferred Name*

Birthdate

Mailing Address*

Country

Street

City

Region

Postal Code

Cell Phone*

Student Email Address*

Gender

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Academic Interest(s)

First Academic Area of Interest*

Pre-Professional Program of Interest (if applicable)

Education

High School Name*

Year of High School Graduation*

I will be applying to college as a:

During which term are you interested in starting at Florida Southern:

College Name (Traditional Transfer Student, Not Dual Enrollment)

GPA and Test Scores

High School Weighted GPA