Queens Direct Admission Student Interest Form

PERSONAL INFORMATION

First Name*

Preferred Name*

Last Name*

Birthdate*

CONTACT INFORMATION

Mailing Address*

Country

Street

City

Region

Postal Code

Would you like to receive text updates about this event and other future updates?

Yes

No

Mobile Phone Number *

Email Address*

ACADEMIC INFORMATION

CPCC Student ID Number*

I am interested in the following major:*

Please select a different major: To qualify for direct admittance to Queens students must be degree-seeking.

Please note that this inquiry form is not an application for the Bachelors of Science in Nursing (BSN) or Accelerated Bachelors of Science in Nursing (ABSN) programs at Queens. Students interested in applying directly to those majors do not need to complete this form. Information about the BSN and ABSN programs and application process is available here.

I plan to transfer to Queens University beginning*:

*denotes a required field

Given your interest in starting next year, there is no need to wait for more details about the direct admit program. All you need to do is apply today! If you have questions about your next steps, email us or give us a call at 704-337-2212.

CEEB

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