Request for Information

Please check choice below:

Parent Default Value Yes

Name

If you checked “I am the parent of a prospective student…”, please enter your name and information as the parent. Otherwise, if you checked “I am a prospective student…”, enter your name and information as the student.

First (Given)

Middle

Last (Family)

Chosen First Name (optional)

Pronouns (optional)

At Landmark College, we care about your identity. One way we show that we care involves ensuring that we are using your chosen name and pronouns. If you list a chosen first name and/or pronouns above, we will use them during and after the admission process and in communication with you, your current school, and your family. You may update your chosen name and pronouns in the future on various forms throughout the admission process or by emailing us at admissions@landmark.edu.

Address

Country

Street

City

Region

Postal Code

Additional Personal Information

Email Address

Mobile Phone Number

Opt-In to Text Messaging

Birthdate

Most Recent School Attended

If you cannot find your school using the lookup tool, you may leave this answer blank.

School Name

School CEEB Code

Terms & Programs

Entry Term

Which program are you interested in?

Program Type

Program Subtype

Student Type

Recruitment Unique ID

Set Status to Open

Promo Code

Tell Us More

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