Academic Information Request

First Name *

Middle Name (Optional)

Last Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

Date of Birth (Optional)

Month

Day

Year

Start Term *

Tell us when you plan to start taking classes at MassBay.

Are you a transfer student? (Optional)

Yes

No

Do you plan to be an online student? (Optional)

Yes

No

What do you want to study at MassBay? *

Select one program that you would like more information about:

Are you interested in any additional programs at MassBay? (Optional)

Besides the program you selected in the previous question, select any additional programs you would like to learn more about:

Are you interested in athletics at MassBay? (Optional)

Select one athletics program that you are interested in:

How did you first hear about MassBay? *

Data Privacy Acknowledgement *

MassBay Community College Personal Information and Data Collection, Access, Use, and Privacy Policy (including FERPA and GDPR): MassBay collects only the data necessary to admit students to events and academic courses. We do not share data with commercial firms, nor with other public instiutions or individuals. You can access your data, make corrections, and ask MassBay to delete your data. Students are covered under Family Educational Rights and Privacy Act FERPA, a U.S. federal law. To learn about your rights under FERPA, please visit https://www.massbay.edu/ferpa. Students, event attendees, job applicants - Please see https://www.massbay.edu/website-policy for more details about GDPR and other protections.

I understand my data rights at MassBay

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