Academic Request for Information Form

Biographical Information

First Name

Middle Name

Last Name

Birthdate

Contact Information

Email Address

Mobile Phone

Click this checkbox to opt in to receive text messages

Opt In

Would you like us to send you information about our programs by mail? (US mailing addresses only)

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Enrollment & Interest Information

When would you like to start taking classes at MassBay?

Fall semester begins in September and ends in December.
Spring semester begins in January and ends in May.
Summer semester begins in May and ends in August.

Which of our areas of study would you like to learn more about?

MassBay offers NJCAA Division III sports, and we also have eSports. Are you interested in learning more about any of our athletic programs?

How did you first hear about MassBay?

Data Privacy Acknowledgement

MassBay Community College Personal Information and Data Collection, Access, Use, and Privacy Policy (including FERPA and GDPR): MassBay collects only the data necessary to admit students to events and academic courses. We do not share data with commercial firms, nor with other public institutions or individuals. You can access your data, make corrections, and ask MassBay to delete your data. Students are covered under Family Educational Rights and Privacy Act FERPA, a U.S. federal law.

To learn about your rights under FERPA, please visit www.massbay.edu/ferpa.

Students, event attendees, job applicants - Please see www.massbay.edu/website-policy for more details about GDPR and other protections.

Acknowledgement

I understand my data rights at MassBay