Santa Clara University

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Contact an Admissions Representative

 

Request Information: Fill out your information below

Comprehensive admissions information may be found on our website and by attending an Information Night.  However, if you have specific issues or questions which are not addressed on our site, please complete the form below:

Request Information: Fill out your information below
Contact Information

First Name:*

Middle Name:

Last Name:*

Email Address:*

Phone Number:*

Street Address:*

City:*

State/Province:*

(USA/Canada only)

Postal Code:*

(USA/Canada only)

Country:*

Please select the program you are most interested in pursuing:

Interested in Education:*

Multiple or Single Subject Credential
MA in Interdisciplinary Education
MA in K-12 Education Administration (M.A. or Credential)
Not Interested in Education

Interested in Counseling Psychology:*

MA in Counseling
MA in Counseling Psychology
MA in Counseling Psychology with MFT and/or LPCC license
Not Interested in Counseling Psychology

Quarter Seeking Entry:*

ie. Quarter/Year

Additional Information:

Citizenship:

Birth Date:*

ie. Month/Day/Year

Gender:

Ethnic Group:

Based upon your specific issue or question if it is necessary to set up an appointment with an admissions representative please let us know your preferred availability to meet:*

Monday
Tuesday
Wednesday
Thursday
Friday

Time of Day:*

Morning (9am - 11pm)
Afternoon (2pm - 4pm)

Please indicate how did you hear about the Graduate School of Education and Counseling Psychology:*

SCU Website
Recruiting event
SCU Alumni
Friend / co-worker / family member
SCU faculty member or staff
Information Night
Graduate School day on college campus
District/School Recruiting
Community Outreach
Online search
Word of mouth

If you selected Recruiting event or Graduate School Day on college campus, please be specific on which college and the day you attended the event:

Specific Issue, Question or Reason for Meeting:*

Would you like to receive an Information Packet in the mail?*

Yes
No
 
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