International Admissions

Graduate Intent to Apply

Completion of this form indicates your intent to apply to Keuka College's graduate program. Once you've completed this form, you will need to send a $50 non-refundable application fee to: Keuka College, One Keuka Business Park, Penn Yan, NY, USA 14527.

Term you would like to attend graduate classes:
Your full legal name (family name, given name, middle name):
Date of Birth:
(month/day/year)
Permanent Address:
Employer's Name:
Employer's Address:
Home Phone Number, including country code:
Work or Cell Phone Number, including country code:
E-mail Address:
Which degrees have you been awarded and from what college or university?