Take Flight Inquiry Form

Please complete the form below and a member of Elmira College Admissions team will reach out to you to answer your questions about the Take Flight Initiative. Whether you're a parent/guardian looking to learn more about this for your student, a College Counselor wanting to learn about this for your students, or a high school student yourself, we're here to help!

I am a ___________ completing this form.

Your Information

Relationship to Student:

First Name

Last Name

Email

Student Information

Student Email Address

Student First Name

Student Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

High School

When do you/your student plan to attend college?

Academic Interest

Are you interested in athletics? If so, please indicate which sport:

Please list any extra-curricular activities you participate/are interested in:

College Counselor/ School Official Information

Counselor First Name

Counselor Last Name

Counselor Phone Number

Counselor Email

High School