Website Inquiry Form

If you are not a prospective student but are inquiring on their behalf, please provide the student's information.

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Desired Enrollment Term

Desired Entry Year

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Personal Information

First Name

Preferred First Name

Last Name

Birthdate

Legal Sex

Contact Information

Email Address

Mobile Phone

I want text updates from Chowan University

Mailing Address

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Academic Information

High School Attended

High School Graduation Date

Most Recent School Attended

Most Recent School Type/Level of Study

Date of Last Attendance

Interest

Which major are you interested in?

Which program are you interested in?

Parent/Guardian Information

Your family is an important part of the college search process. We want to keep everyone informed of what's happening at Chowan (important deadlines and events on campus, for example).

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Parent/Guardian Information
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