Contact Info

          Undergraduate Admissions Office
          Academy Hall
          200 East Normal Street
          Edinboro, PA 16444
          Phone: (814) 732-2761 or
          (888) 8GO-BORO (888-846-2676)
          Email: admissions@edinboro.edu

          Non-Degree Seeking Students



          Please complete each item thoroughly. You may use the TAB key to move from one field to another. If you have any problems filling out this form, please call 1-888-8GO-BORO or 814-732-2761 and a counselor will be happy to answer your questions. Thank you!

          (*) denotes required information.

          Personal Information:  
          * Email:
          * First Name:
          Middle Initial:
          * Last Name:
          Maiden/Former Name:
          * Address:
          * City:
          * State:
          * Zip:
          Home Country(if not US):
          * Home Phone:
          Cell Phone:
          * Gender:
          * Date of Birth:
          * Are you a legal resident of Pennsylvania?
          If 'Yes', how many years have you lived in Pennsylvania?
           
          Citizenship/Ethnic Background:  
          * Citizenship:
          What is your ethnicity?
          Hispanic or Latino
          Not Hispanic or Latino
          What is your race? Mark one or more races to indicate what you consider yourself to be
          White
          Black or African American
          Asian
          American Indian or Alaska Native
          Native Hawaiian or Other Pacific Islander
           
          Next of Kin and Relationship:  
          * Relationship:
          * First Name:
          Middle Initial:
          * Last Name:
          * Address:
          * City:
          * State:
          * Zip:
          * Phone:
           
          High school of graduation OR high school equivalency (GED):
          * High School:
          * City:
          * State:
          * Year of Graduation:
           
          Previous Institutions:  
          List names and dates of any institutions at which you have attempted college level course work regardless of the length of time attended or credits earned beginning with the most recent institution. Failure to list all previous institutions (including business, trade, and technical schools) could result in disciplinary action. If attending a branch campus, please list the branch campus’s city and state. Advanced Placement tests and AP test preparation courses are not considered for this section.
          Current or most recently attended Institution’s Name:
           
          First Institution Name:
          City:
          State:
          Dates of Attendence:
          Degree Earned:
          Degree Earned Date:
           
          Second Institution Name:
          City:
          State:
          Dates of Attendence:
          Degree Earned:
          Degree Earned Date:
           
          Third Institution Name:
          City:
          State:
          Dates of Attendence:
          Degree Earned:
          Degree Earned Date:
           
          If you have attended another college or university, are you eligible to return for further study? You must be in good standing at a previous institution to be accepted at Edinboro.
          Are you eligible to return for further study?
          If no, explain:
           
          Application Information:  
          * Semester Applying for:
          Your parent, guardian, or spouse is employed by Edinboro University:
          Highest degree earned by your parents or guardians:
          You plan to apply for financial aid:
          * List course(s) you would like to take at Edinboro (include course name and code number):
          * Please explain why you are applying as a Special Student:
           
          I would like to attend classes at:  
          Edinboro University's main campus in Edinboro, PA:
          Edinboro University's Porreco College in Erie, PA:
          Edinboro University courses at a partner community college:
           

           

          Consent For The Collection and Processing of Sensitive or Personal Data for Admission and Enrollment to Edinboro University

          Pursuant to the European Union General Data Protection Regulation (EU GDPR), the Pennsylvania State System of Higher Education and its member universities, including Edinboro University of Pennsylvania (“University”), in its capacity as a data controller under the EU GDPR, must obtain explicit, affirmative consent before it can collect or process any sensitive or personal data for a lawful basis including for admission and enrollment purposes. 

          1. Sensitive data includes data revealing racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership; genetic or biometric data; health data; or data concerning a person’s sex life or sexual orientation.

          2. Any sensitive or personal data that is collected will be for the sole purpose of application for admission to the University that is sent from the EU and is necessary for that purpose or for any purpose permitting the use of sensitive or personal data under applicable law or to meet other compliance obligations of the University. 

          3. I understand that any sensitive or personal data that is collected will also be used to report serious illness, injury, or other health or emergency situations involving me, as well as to address or report discrimination, harassment, sexual or gender-based misconduct and criminal behavior which may be committed by or against me or otherwise involve me, on or off campus, to appropriate authorities including staff, faculty, and administrators of the University or appropriate legal or governmental authorities under applicable policies of the Pennsylvania State System of Higher Education or the University (including but not limited to applicable codes of conduct) and applicable laws (including but not limited to Title IX and the Clery Act). 

          4. I understand that refusal to consent to the use of sensitive or personal data, and the transfer of sensitive or personal data overseas, for the purpose outlined in this notice may make it impossible for the University to carry out necessary activities, and may preclude the University’s ability to provide requested services. 

          5. I understand I have the right to withdraw consent to the collection and processing of sensitive or personal data and to do so, I must contact Mr. Tim Pilewski, Registrar (pilewski@edinboro.edu). I also understand that the complete deletion of data will not be feasible in all situations to ensure the University’s ability to comply with regulatory requirements.

          *I have read and agree to the terms
          Submit Application:  
          By entering the date on this form and submitting this information, you certify that the information is correct and understand that any misrepresentation by you on this application form could lead to future disciplinary action by the University.
          * Date: