Undergraduate Request for Information

Thank you for your interest in Florida Southern College. Please answer the questions on this page to allow us to better communicate with you and provide you with information and the latest updates regarding academics, extracurricular activities, and the admissions process. For efficient processing, please fill out as much information as possible.
By providing your information, you consent to being contacted via telephone (including a cell phone, if provided), email, text message and/or prerecorded message by FSC and its affiliates who use automated technology.

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First Name*

Last Name*

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Mailing Address*

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Cell Phone*

Parent/Guardian Email Address

Intended Entry Term into college*

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Your Academic Interest*

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Select your instrument*: (Use CTRL key to select more than one option)

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