Fayetteville State University

Please take a moment to tell us about yourself. The information you provide will be treated confidentially and will only be used by Fayetteville State University.

Please note if you think you have created an account previously and have forgotten your password, click here to reset.

Personal Information

First Name (given name): (required) *

Middle Name (if applicable):

Last Name: (required) *

Preferred First Name:

Date of Birth: (required) *

Email Address: (required) *

This email is already being used.

Prospect Information

Year of Entry into FSU: (required) *

Student Type: (required) *

Where did you go to high school? (required) *

Where did you go to college? (required) *

Primary Contact Information

Country: (required) *

Address Line 1: (required) *

Address Line 2:

City: (required) *

State: (required) *

Zip Code: (required) *

Address Line 1: (required) *

Address Line 2:

City:

Province/State:

Zip/Postal Code:

Permanent Phone Number: (required) *

Confirmation