Request Information

We would be happy to add you to our mailing list. Please enter your information in the form below.
Student Information:
*First Name
Preferred Name
Middle Name
*Last Name
*Country of Citizenship
(check all that apply)

Permanent Address:
*Number and Street
(if international, select "Foreign Address")
*Postal/ZIP Code
*Do you have a different mailing address?

Contact Information:
*Email Address


Cell Phone (xxx-xxx-xxxx)
Home Phone (xxx-xxx-xxxx)
For international, add country/area code
Education Information:
*Applying as

*Applying for
*High School CEEB Code
(For international schools without a CEEB code, please enter 000000)
Look up code  
*High School Name
*High School City
*High School State
(if international, select "Foreign Address")
*High School Graduation Year
Click the submit button below to be added to our mailing list. Thank you for your interest in Scripps College!