Prospective Student Inquiry

First Name:
Middle Name:
Last Name:
Date of Birth:	Format: mm/dd/yy
Mailing Address:
City:
State:
Zip:
Phone Number:	( ) - Second three digits Last four digits

Email:
Anticipated Entrance Date:
Major/Program Choice:
High School/GED:	High School Diploma GED
High School/GED Graduation Year:
Information Desired:	Program Information Admissions Information Scholarship Application Financial Aid Information Class Schedule Phone Call Other
Comments:
Validation:

LSCPA's Annual Security and Fire Safety Report is provided in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (20 USC § 1092(f), 34 CFR 668.46).