enrollment.elmira.eduEnrollment Confirmation

Congratulations on making an excellent decision! You are only one step away from joining the Elmira College family. Complete the enrollment confirmation form below, hit submit and relax, your college search is over. The non-refundable enrollment deposit and orientation fee will be credited to your student account. Student Information *Student First Name Student Middle Name *Student Last Name *Permanent Address *City *State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virgina Wisconsin Wyoming Ontario British Columbia Yukon Alberta *Zip Code *Phone Number County of Residence *Date Of Birth Enrollment Information *Are you a Freshman Transfer (traditional) Full-time Adult Full-time Traditional Part-time Adult Part-time Master's *Intended Major Accounting Accounting : CPA Adolescence Education Adolescence Education : Biology Adolescence Education : Chemistry Adolescence Education : English Adolescence Education : French Adolescence Education : Mathematics Adolescence Education : Social Studies Adolescence Education : Spanish American Studies Art Biochemistry Biology Business Administration Business Administration : International Business Business Administration : Management Business Administration : Management Accounting Business Administration : Marketing Chemistry Childhood Education Childhood Education : Special Education Classical Studies Clinical Laboratory Science Criminal Justice Economics Education English Literature Environmental Science Finance History Human Services Individualized Studies International Studies Mathematics Music Nursing Philosophy and Religion Political Science Pre-Dental Pre-Law Pre-Medicine Pre-Occupational Therapy Pre-Pharmacy Pre-Physical Therapy Pre-Veterinary Science Psychology Public Affairs Social Studies Sociology and Anthropology Spanish and Hispanic Studies Speech and Hearing Speech and Language Disabilities Theatre Undeclared Visual Arts *Start Term September January April *I will be a Resident Commuter *Financial Aid Applicant Yes No Billing Information *Your Email Address *Credit Card Type MasterCard Visa Discover AMEX *First Name (as it appears on the card) *Last Name (as it appears on the card) *Address *City *State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virgina Wisconsin Wyoming Ontario British Columbia Yukon Alberta *Zip Code Payment Amount $450.00 *Credit Card Number *Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 / 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 *CVV2 Code (3-4 Digits) What is this? X Please wait while your transaction is being processed....