Request for Information

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First Name*

Middle Name

Last Name*

Birthdate*

Email Address*

Mailing Address*

Country
Street
City
Region
Postal Code

Cell Phone

Home Phone

What are you applying as?*

What area are you applying to?* (Please note the Traditional Undergraduate classes are held during the day; whereas the School of Professional Studies (Non-Traditional Program) classes are held during the evenings, weekends, and/or online.)

Please list your desired major

Current/Last School Attended* (School options will auto-populate; please SELECT from the list)

Current/Last School attended (School options will auto-populate; please select from the list)

CEEB Code

What is your intended Major?

Anticipated Entry Term*

If you have any additional questions, please reach out to the Admissions Office at admissions@peace.edu, 919-508-2214, or through the chat on our website.