Evening Program Request Information

1. Request Information

1. Please provide your name and address
2. Gender
3. Age group
4. Area of interest
Evening BA & BS Programs
Choose one or more
5. Please notify/send me information about:
6. How did you hear about us?
Select one
7. Have you earned college credits at Bridgewater State or any other college/university?
8. If you have earned college credits, please indicate the number of credits earned:
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