Request for Information Contact Form

Stay in the loop by adding yourself to the SMC Prospective Student Mailing List.

Instructions: Fill in your contact information below, and we will make sure you receive our latest e-mail and mail communications as they become available. By completing this form, you are consenting to receive future communications from Santa Monica College.
Note: Items with an asterisk (*) are required.
*First Name
*Last Name
*Phone Number
?
*Email Address

*Confirm Email Address

Gender
 
Date of Birth:
  

Mailing Address

*Address 1
*City or Town
*State or Province
*ZIP or Postal Code

Other Information

Name of High School:
*High School Graduation Date
  
*Which State did you graduate/are going to graduate High School from?
*I would be applying as a:

*I would be applying for the following term:
*Primary Academic Interest:
At SMC I plan to pursue: