Student Information Request Form

Thank you for your interest in the University of Miami. Please enter your information below to learn more about UM's academics, campus life, and the application process.

STUDENT CONTACT INFORMATION

First Name

Last Name

Preferred First Name

Email Address

Date of Birth

Gender

Female

Male

Undefined

X or another legal sex

Gender Identity

Mobile Number

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Yes

MAILING ADDRESS

Country

Street

City

Region

Postal Code

ACADEMIC INFORMATION

I will be applying as a

First-Year Student

Transfer Student

I am interested in starting in

My intended major is

My intended musical instrument is

My current or most recently attended school is

My graduation year will be or was

Select yes if you are currently enrolled in the Honors College at Miami Dade College. Leave unselected otherwise.

Yes

PARENT/GUARDIAN CONTACT INFORMATION

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Relationship Type

Parent/Guardian email is invalid!

Student Information Request Form

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