CSIS - Information Request


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Voice: 270-809-2094 . Fax: 270-809-3199

Computer Science & Information Systems
CSIS . 652 BBSouth . Murray State University . Murray . KY . 42071

Information Request
Please complete this form and provide as much information as possible so that we may respond with the appropriate information.
Name
Address
City
State	ZIP
Country
Phone	(if international number, include ALL codes )
E-mail
	Math English Science Composite
ACT scores:	(for other scores use "comment" field below)
Attending High school now?	Yes No
Going to college in...
I am interested in: (check all that apply)	Computer Science Computer Information Systems MS in Information Systems Other (please describe):
Anything else you would like to add:	Comments?

Thank you for taking the time to fill out this form.