Regional Choice Initiative (RCI) Application Form

Are you ready to jumpstart your future, while saving time and money along the way? Apply now for the Regional Choice Initiative and enroll in college courses while you are still in high school. Your official Mercyhurst courses are taught by our expert faculty who will guide and support you every step of the way. If you have any questions please contact Steve Gregg, Director of Graduate and Professional Admissions, at sgregg@mercyhurst.edu or 814-824-3696.

About You

First Name

Preferred Name

Last Name

Email Address

Birthdate

Social Security Number

Sex

Permanent Address

Country

Street

City

Region

Postal Code

About Your Parent/Guardian

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone

Parent/Guardian Email Address

About Your Academic Performance

High School Name

School Counselor First Name

School Counselor Last Name

School Counselor Email Address

Mercyhurst University

Regional Choice Initiative (RCI) Application Form

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