Undergrad Interest Form

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Please select the student type that best describes you
High School Student or Recent High School Graduate

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Current College Student or Recent College Graduate

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GED Recipient

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Middle School or Elementary School Student

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What type of prospective student are you?*
Full Name*

First NameLast Name
Mailing address

Street Address

Street Address Line 2

CityState

Zip Code Country
Student ID#
Birthdate*

MonthDayYear
MM/DD/YYYY
What can we help you with?
When do you expect to enroll?*
Last School Attended or Current School Attending*
(ex. Texas Senior High School)
High School Graduation Date*

MonthDayYear
MM/DD/YYYY
VisitorInfo
What Major are you interested in pursuing?
Should be Empty: