Applicant Information
First Name*
Middle Name
Last Name*
Preferred Name
Sex*
M F Decline to State
Contact Information
E-mail*
Address Line 1*
Address Line 2
City/Providence*
State
Zip*
Country
Phone - -
  OR
International Phone .
  Country Code
College Information
Full Name of College*
City*
State
Country
Admissions Information
Applicant Type*
Expected date of entry*
Primary Academic Interest

Do you intend to apply for financial aid?*

Optional Information
 
Ethnicity
 
How did you find out about Pitzer College?
Campus visit to Pitzer
Claremont College Reception
College Board Student Search
College Fair
High school visit by Pitzer rep
Internet Search
Other