Inquiry Form for Entering Freshmen

Please use this form to become part of the Crimson Tide family. Please enter all of your information as accurately as possible.

Your Name *First Name: Middle Name: *Last Name: Suffix:

Your Address *Street 1: Street 2: *City: *State/Province County Zip Code Country: Phone:

Personal Information Preferred Contact Method: Email Address: Gender: *Date of Birth *Year of Intended Enrollment:

Academic/Interests High School: Level of Interest in UA: Will you need Financial Aid? Are you interested in information about housing?

Extracurricular Activities (check all that apply):

Questions/Comments If you have a question for the Undergraduate Admissions staff, please type it in the box below: