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Early College High School and Dual Credit Programs

Information Request


Thank you for your interest in the Cross-boundaries College for Young Professionals (dual enrollment program_ at Eastern University, Philadelphia. Please take a moment to fill out this online information request form. The appropriate information will be sent to you promptly.

Contact Information

First Name

Last Name

Email Address

Home Phone

Work Phone

Address Line1

Address Line2

City

State

Zip/Postal Code


School Information

High School Attended

School Year

Fr. So. Jr. Sr.


Other Information

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Eastern University | Philadelphia
3 Falls Center Suite 1, Second Floor
3300 Henry Avenue
Philadelphia, PA 19129

P: 215-769-3123
F: 215-848-2651