To apply to the University of Pittsburgh Johnstown, please complete the multiple page form below.

* - Required field
PERSONAL INFORMATION



We are required by Federal guidelines to report the legal sex of each applicant as female or male. Typically, this is the sex indicated on the birth certificate. In the optional Gender field below, you may provide additional information about your gender/gender identity if you wish.

Female
Male

/ /
Citizenship
Yes
No

Non-immigrant
Refugee
U.S. Immigrant/Permanent Resident
Residency
Yes
No
Less than a year
More than a year

CONTACT INFORMATION

Permanent Address







Mailing Address









BACKGROUND INFORMATION

Please indicate the group that best describes you.

Yes
No
American Indian or Alaska Native
Asian
Black/African American
Native Hawaiian or Pacific Islander
White
Yes
No
Yes
No