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Request for Graduate School Information

To receive more information about graduate opportunities at Lewis & Clark, please fill out and submit this form.
(Or you can request info for our Law School, or our undergraduate program)

* denotes a required field.

Personal Information
Mailing Address

Academic and Professional Information
Please tell us the name of the college where you earned your degree or are currently working towards your degree. NOTE: This field uses autosuggest. You can search your college by typing in the name, city, or state. If the autosuggest feature does not show your college, type your college name and location (city, state) in the text box.
Month and year your degree was earned or will be earned.
Do you currently hold a K12 license? (example: Teaching, Administrator, School Personnel)
While you're deciding your next steps for graduate study, explore our website:
Academic Programs
Additional Information
Birthdate (used for matching purposes only)
Are you a first generation college student? (Answer "no" if any of your parent/guardians graduated from a 4-year college/university or the foreign equivalent.)
Have you previously attended Lewis & Clark Graduate School of Education and Counseling?
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