Merrimack Interest Form

You are required to fill the form below as the first step to apply to Merrimack College. This is not an Online Admission form. Details you provide below will help the Admission Team qualify you for an admission.

Personal Details

First Name *
Last Name*
Email *
Mobile *
Address *
City *
State *
Country *
PIN Code/Zip code *
Date of Birth *
Gender *
Male Female 

Academic Information

Secondary Education
School Name *
Pass Percentage/CGPA *
School Name *
Pass Percentage/CGPA *
Undergraduate *

 Completed Expected N/A

Degree *
School Name *
Deemed University *
Pass Percentage/CGPA *

 Completed Expected N/A

School Name
Deemed University
Pass Percentage/CGPA
English Proficiency
Degree of Interest
 BS - IT/CS/Engineering
 MS - Mechanical Engineering
 BA - Liberal Arts
 MS - Civil Engineering
 MS - Management
 MS - Computer Science
 MS - Accounting
 MS - Health Sciences
Enrolling in Which Semester?

I attest that everything above is accurate and true
 Yes No
How Did You Hear About Us?
 Friend Parent Online Billboard Newspaper School Counselor Placement Agency

  I am interested in receiving information directly from a Merrimack representative