Graduate Inquiry Form

Thank you for your interest in Salem State University!

In order for us to serve you better, please provide us more information on how to contact you.

Name and Contact Information

First Name (Given Name)

Last Name (Family Name)

Verify Email Address

Mailing Address

City

Country

State or Province

Zip/Postal Code

Mobile Phone

Home Phone

Birthdate (mm/dd/yyyy)

Program of Interest

Second Program of Interest

What is your current or most recent college/university? Choose Unknown School if no match

Current Place of Employment (if any)

Are you a current/former member or the spouse/dependent of a current/former member of the U.S Armed Forces