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Request Information

Please note that the students, faculty, and staff of Ursinus College are given priority service.

Enter your question or information request in the space provided below. When you are finished, click "Send your request " at the bottom of the form.

Your question:

 

Your Name:

Phone No.:

College Address:

E-Mail Address:

Status (select one):

If Faculty or Staff, indicate Department:

If Student, indicate Course:

Do not change.