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Prospective Student Information
Student First Name
Student Last Name
Student Email Address
Student Preferred First Name (if different than what is listed above)
Student Birthdate
Student Birthdate
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Student Gender
Female
Male
Unknown
X
Mobile Phone
I opt in to receive text messages from regarding events, visitation, or application updates. (Standard messaging rates may apply.)
I opt in to receive text messages from regarding events, visitation, or application updates. (Standard messaging rates may apply.)
Yes
No
Student Mailing Address
Student Mailing Address
Country
Street
City
Region
Postal Code
Academic Information
When would you like to enroll?
Select a term
Fall
Spring
Summer
When would you like to enroll?
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2022
2023
2024
2025
2026
2027
2028
2029
HIDDEN: Insert description of student level here and unhide.
What is your intended level of study?
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Freshman
Transfer
Graduate
Pharmacy
Law
Area of Interest
Select Interest
Accounting
Administration Of Justice
Art
Athletic Training
Aviation Science Management
Biology
Biomedical Sciences
Chemistry
Civil Engineering
Civil Engineering Technology
Clinical Laboratory Sciences
Communication Studies
Computer Science
Electrical And Computer Engineering
Electronics Engineering Technology
Emergency Management And Homeland Security
English
Entertainment And Recording Industry Management
Entry Level Pharmacy Practice
Environmental Health
Finance
General Studies
Health
Health Administration
Health Information Management
History
Human Services And Consumer Science
Industrial Technology
Interdisciplinary Studies
Journalism
Kinesiology
Management
Management Information Systems
Maritime Transportation Management And Security
Marketing
Mathematics
Music
Nutritional Sciences & Dietetics
Physics
Political Science
Psychology
Public Affairs
Radio, Television, And Film
Respiratory Therapy
Social Work
Sociology
Spanish
Sport Management
Theatre
Transdisciplinary Business and Corporate Services
Transdisciplinary Creative Arts and Communication
Transdisciplinary Educational Studies
Transdisciplinary Engineering and Technology Services
Transdisciplinary Human and Health Sciences
Transdisciplinary Information Technology Systems and Services
Transdisciplinary Studies of Energy and Environmental Systems and Services
Transdisciplinary Studies of Societal Inclusion and Urbanism
Program of Interest
Select Program
Ed.D Counselor Education
Ed.D. Educational Administration
Ed.D. Curriculum And Instruction
EMAJ Executive Master of Science in Administration of Justice
EMBA Executive Master of Business Administration
EMPA Executive Master of Public Administration
M.S. HCA Health Care Admin
M. Ed. Educational Administration
M.A. Communication
M.A. English
M.A. History
M.A. Professional Communication And Digital Media
M.A. Psychology
M.A. Sociology
M.A. Transdisciplinary Religious Studies and Society
M.B.A. Business Administration
M.Ed. Transdisciplinary Educational Leadership Studies
M.Ed. Counselor Education
M.Ed. Curriculum And Instruction
M.P.A. Public Administration
M.S. Administration Of Justice
M.S. Biology
M.S. Chemistry
M.S. Computer Science
M.S. Environmental Toxicology
M.S. Health And Kinesiology
M.S. Human Services And Consumer Science
M.S. Management Information Systems
M.S. Mathematics
M.S. Nutritional Sciences & Dietetics
M.S. Pharmaceutical Sciences
M.S. Sport Studies And Sport Leadership
M.S. Transdisciplinary Human and Health Sciences
M.S. Transdisciplinary Sciences and Urbanism
M.S. Transportation Planning And Management
M.UPEP Urban Planning And Environmental Policy
Ph.D. Administration Of Justice
Ph.D. Environmental Toxicology
Ph.D. Pharmaceutical Sciences
Ph.D. Urban Planning And Environmental Policy
Pharmacy Interest
Select Program
Pharm.D. Pharmacy
Law Interest
Select Program
J.D. Law
L.L.M. Immigration Law
School Information
Current High School or Most Recent High School
High School CEEB (Hidden)
School Level of Study = High School (Hidden)
Graduate
High School
Undergraduate
Current College or Most Recent College
Current College or Most Recent College CEEB (Hidden)
School Level of Study = Undergraduate (Hidden)
Graduate
High School
Undergraduate
Parent / Guardian Information
Parent / Guardian Email
Parent / Guardian First Name
Parent / Guardian Last Name
Relation to Student
Father
Legal Guardian
Mother
Step-Father
Step-Mother
Step-Parent
Person Type - Admission (Hidden)
Admission
Advancement
Student Success
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