Lander University

Request Information Form

320 Stanley Avenue

Greenwood, SC 29649

864-388-8307

864-388-8125 (Fax)

First Name*
Last Name*
Mailing Address*
City*
State *
Zip Code*
County
Phone Number *
Email address
Date of Birth (mm/dd/yy)*
High School*
High School Graduation Year*
College Attended:
Intended Major
What type of student will you be?
Which semester would you like to attend?
What year would you like to attend?
Please list any additional information you would like to receive.
All fields marked with an asterisk (*) are mandatory.