Information Request Form

All information below (name, birthdate, email, address, phone) should pertain to students interested in admission to Harvard College.

First Name *

Middle Name

Last Name *

Nickname

Birthdate *

Email Address *

Mailing Address *

Country
Street
City
Region
Postal Code

Home Phone

Mobile Phone

Current School Name *

CEEB

Planned entry as a

Entry Term*

Harvard has several student recruitment programs:

Harvard College Connection provides a student perspective on admissions, financial aid, and student life.
Harvard Financial Aid Initiative supports students and families with incomes below $80,000.
Harvard First Generation Program supports students who will be the first generation of their immediate family to graduate from a four-year college.
Harvard Undergraduate Minority Recruitment Program encourages students of color to apply to Harvard College.

Would you like to hear from a current student from any of these programs?

Harvard College Connection

Harvard Financial Aid Initiative

Harvard First Generation Program

Undergraduate Minority Recruitment Program

Academic Interest

Extracurricular Interest

Optional Demographic Information

Gender Identity

For more information on BGLTQ Student Life at Harvard, please visit the website of the Office of BGLTQ Student Life.

Are you Hispanic or Latino?

Yes

Regardless of your answer to the question above, please indicate how you identify yourself (check all that apply).

Are you a first generation college student?
If you will be the first generation of your immediate family to graduate from a four-year college or university with a bachelor’s degree or the equivalent, we consider you a first generation college student.

Yes

All entered data is received, transmitted, and stored using current state-of-the-art security techniques. Our standards meet or exceed all applicable federal and state guidelines for protection of sensitive information.