A-State Connection 2026

Student First Name

Student Last Name

Birthdate

Student Mobile Number

Email Address (Please use a personal email, not a school email)

Parent/Guardian Email

Mailing Address

Country

Street

City

Region

Postal Code

When do you plan to start attending college?

Expected Graduation Date

What is your primary academic interest?

Will you be needing any special accommodations during your visit to campus?

Yes

No

If you selected yes to the question above, please describe the accommodations we can make for you.

Please answer the following additional survey questions to the best of your ability.

To answer additional survey questions that may help us improve your experience while you are on campus, please select "yes." If you do not wish to answer the optional survey questions, please select "no."

Yes

No

Are you interested in any of the additional activities below?

Which of the following best describes your race?

Are you Hispanic or Latino?

Arkansas State University

A-State Connection 2026

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