Information Request or Update

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Complete the form below to receive information from Parkside.

International students should use the International Info Request form.

Returning users can update their information by logging in, updating any fields on this screen, and submitting.

Note: Fields marked with an asterisk (*) are required.

 


* Note: To request information and/or register for an event, fill out the forms below. You will be able to log back in to update your information.All fields marked with an asterisk (*) are required!!!!!!
   STUDENT INFORMATION
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   CONTACT INFORMATION
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   HIGH SCHOOL/COLLEGE DETAILS
Most recent college of attendance, if any:

   EDUCATIONAL ASPIRATIONS
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   PERSONAL DETAILS
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Date of Birth (MM/DD/YYYY):
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D I S C L A I M E R: The data presented on this page is confidential.

 
   
 

900 Wood Road • P.O. Box 2000 • Kenosha, WI 53141-2000 P 262-595-2345