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Undergraduate Information Request Form

*Required Fields

STUDENT INFORMATION

*Student First Name

Student Preferred First Name (used in official communications)

*Student Last Name

*Student Email Address

*Student Cell Phone

*Birthdate

*Mailing Address

Country

Street

City

Region

Postal Code

ACADEMIC INFORMATION

Freshman (no college attendance after high school)
Transfer (attended college after high school)

*Student Type

Freshman

Transfer

Freshman (International)

Transfer (International)

*Primary Major

Secondary Major (if applicable)

*Anticipated Entry Term

*HS Graduation Year

ADDITIONAL INFORMATION

Comments