Request For Information

Fields marked with * are required fields.

Legal Name

* First (Given) Name

Middle Name

* Last (Family) Name

Preferred First Name

Other Information

* Email Address

Phone Number

* Citizenship

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following questions.

Are you Hispanic or Latina/o/x?

Yes

No

Mexico

Puerto Rico

Other Hispanic Nation

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Program Information

* Intended Start Term

* Intended Degree Type

Doctorate

Master's

Certificate