Undergraduate Admissions

York College DVD Request Form

Thank you for your interest in York College of Pennsylvania!

Please fill in and submit the form below. We will send you your complementary DVD right away.

1.	First Name:
2.	Middle Initial:
3.	Last Name:
4.	Address:
5.	City:
6.	State:
7.	Zip Code:
8.	Country:
9.	Citizenship:	U.S. Citizen: Permanent Resident: Other:
10.	Telephone:
11.	E-mail Address:
12.	Date of Birth:
13.	Major:
14.	High School:
15.	Year of High School Graduation:
16.	Transferring from another college or university?	Yes No
17.	Ethnicity (optional):	Hispanic or Latino: Non-Hispanic or Non-Latino:
18.	Race (optional):	Black or African-American: American Indian or Alaska Native: Asian: Caucasian/White: Pacific Islander: Multiracial: