Request for Information Form

Please take a moment to tell us who you are so we can add you to our mailing list and send you information that's relevant to you.
请花几分钟的时间，告诉我们您的个人信息和联系方式。随后，您的联系方式将进入我们的联系人名单，我们会向您发送与您相关的内容。

我将是：/I will enter Binghamton as a

计划进入宾汉姆顿大学的学期/Entry term

名（拼音）/First name (in pinyin)

姓（拼音）/Last name (in pinyin)

电子邮件/Email address

邮件确认/Confirm email address

个人信息/Personal Info

出生（月日年）/Birth date

邮寄地址（选填）/Mailing address (optional)

Country

City

Region

Postal Code

专业兴趣（选填）/Academic Info (optional)

现所在学校/Current school (Search by Name, City, or CEEB code)

专业兴趣/Academic interest

父母或监护人联系信息（选填）/Parent/Guardian Contact Info (optional)

名/First Name

姓/Last Name

电子邮件/Email

其他联系方式（选填）/Additional Contact Info (optional)

宾汉姆顿大学本科招生处以电子邮件为主要沟通方式。如果您想有更多的联系方式（比如KaKao Talk，Skype，WeChat, WhatsApp等, Weibo, Bilibili），请在下面选择偏好的社交媒体并填写您的个人账号。

Binghamton Undergraduate Admissions uses email as our primary form of communication. If you'd like to provide additional contact information (ex. KaKaoTalk, Skype, WeChat, WhatsApp, Weibo, Bilibili), please enter the provider and your contact ID or number below.

偏好的社交媒体平台/Preferred social media platform

偏好的社交媒体平台的个人账号/Your ID or number

其他信息（选填）/Additional Optional Info

您从何处了解到宾汉姆顿大学？多选。/How did you hear about us? Check all that apply.

升学指导老师/School counselor

家长或朋友/Family/friend

宾汉姆顿大学发出的电子邮件/Email from Binghamton

宾汉姆顿大学寄出的邮件/Mailing from Binghamton

学校拜访或大学展/School visit or college fair

社交媒体/Social Media

大学搜索网址/APP/College search site/app

其他/Other

Please indicate the college search tool you used.

Please provide more information.