HOME | WEB APPLICATION 
Salem State Undergraduate Admissions

Thank you for your interest in Salem State University. Please fill out this form to receive important information about admissions and the program in which you are interested.

Please capitalize and punctuate properly so communications sent by Salem State can get to you promptly.

We look forward to working with you throughout the admissions process!



 Contact Information
  Please enter your data accurately and provide your full name and complete address.

  * = Required Field
* Legal First Name (Given Name):  
Middle Name:  
* Last Name (Family Name):  
 
* Address:  
   
* City:  
State/Province:  
* Postal Code:  
Country:  
 
* Email Address:  
Home Telephone Number (US & Canada):
 
Mobile/Cell Telephone Number (US & Canada):
 
International Telephone Number (include country code):
 
 
Gender:  
 
Ethnic background: Do you consider
yourself Hispanic or Latino?
 
What is your racial background?
(Check one or more)
  American Indian/Alaskan Native
Asian
Black or African American
Cape Verdean
Native Hawaiian or other Pacific Islander
White
 
Are you an international student?  
Are you a current or former member
of the US Armed Forces?
 
 
 Academic Interest
* Major of Interest 1:  
Major of Interest 2:  
Interests:   Athletics
Arts
Honors Program
Residence Life
 
 Additional Information
  Current/Most Recent High School:

School Search  ::  Clear School
Click 'School Search' above to find your school.
If not found, please enter name of school:
 
* High School Graduation Year
(actual or anticipated):
 
 
  Current/Most Recent College/University:

School Search  ::  Clear School
Click 'School Search' above to find your school.
If not found, please enter name of school:
 
 
How did you hear about us?:  
Do you need assistance with obtaining
a visa to study in the United States?
 



ABOUT SSL CERTIFICATES
Copyright Notice | Privacy Policy
Questions? Comments? Suggestions?
Send email to
support@embark.com