Engage CSU

Tell Us About Yourself

Full Name

First Name *

Middle Name

Last Name *

Country *

Address Line 1 *

Address Line 2

City *

State

Foreign State/Province

County

Zip *

Phone *

- -

Cell Phone

Can we text you? *

YesNo

E-mail *

Verify E-mail

Preferred Method of Contact

When is the best time to contact you?

MorningAfternoon
EveningWeekend

DOB *

Family Member Information

My parent/guardian would like to be involved in the college selection process

YesNo

Parent First Name

Parent Last Name

Parent Phone

Parent Email

Parent Address 1

Parent Address 2

Parent City

Parent/ Guardian State

Parent Zip

Background Information

Have you visited CSU?

YesNo

Gender

MaleFemale

Are you Hispanic or Latino?

YesNo

Ethnicity

American Indian or Alaska Native

Ethnicity: Asian

Asian

Ethnicity: Black or African American

Black or African American

Ethnicity: Native Hawaiian Pacific Island

Native Hawaiian or Other Pacific Islander

Ethnicity: White

White

Neither of my parents/guardians have earned a bachelor degree

YesNo

Are you a US Veteran?

YesNo

Enrollment Information

When would you like to start? *

Interested in Applying as a *

Do you have less than 12 credit hours

Yes
No

Primary Academic Interest *

Additional Academic Interest

Do you plan to live on-campus?

YesNoUndecided

I would like additional information on:

Honors
Housing
ROTC
Ohio College Selection Workbook

Previous Education Information

High School Name

High School City

High School State

Year of Graduation

Self-reported HS GPA

Self-reported ACT

Self-reported SAT

Previous Education Information (Most Recent College Institution)

College Name

College City

College State

College Hours Earned

Self-reported Transfer GPA

Degree Awarded (if applicable)

Login Information

Password *

Verify Password

Hidden Attributes

High School Code

Find your code here.

College Code

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High School Address1

High School Address2

High School Zip

College Zip

Hidden: Admission Funnel Status

Inquiry Date