Welcome to the Cowley College Request Information Form! We are thrilled that you are interested in learning more about the various academic opportunities we offer as well as the communities that make up our campus culture. Please provide the following information to help us better assist you with your inquiry and guide you through the college discovery process.  

Contact Us

125 S 2nd St,

Arkansas City, KS 67005

800-593-2222 | 620-441-5575 (fax)

[email protected]

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Request for Information

First Name *

Last Name *

Preferred First Name *

Date of Birth *

Contact Information

Physical Address

PO Box/Apt Number

City

ZIP/Postal Code

Country/Region

State/Province

Email Address *

Confirm Email *

Preferred Phone *

Home Phone *

Cell Phone *

Parent Cell *

Mobile Phone - International *

Home Phone - International *

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School Information

What type of student you will be at Cowley? *

Are you going to attend Cowley 100% online? *

Would you like to come for a Campus Tour?

Will you be living on campus ?

What is the Extracurricular activity you are interested in?

How did you hear about Cowley?

Expected Start Term *

What type of school are you currently attending? *

School Name *

Please select Other School/College if your school is not found

Education Level *

High School Graduation Date