Undergraduate Request for Information

* denotes a required field.

Who is filling out this form?*

Please fill out the following blocks as the student, your information will be collected at the end.

Please fill out the following blocks from the perspective of the student.

Personal Information:

First Name*

Preferred First Name

Last Name*

Email Address*

Birthdate*

Cell Phone Number:*

Would you like to receive phone calls and SMS messages that use AI to share information about the University of Central Missouri?
(Messages will come from a (660) 333-xxxx number and may include automated or AI-generated content.)

Yes

No

Would you like us to send you information in the mail?

Yes

No

Mailing Address*

Country

Street

City

Region

Postal Code

School Information:

Student interest type:*

What is your current High School?* Please select a school from the autosuggest list.

High School Graduation Date:*

HS Level

HS CEEB Code

What is your current College/University?* Please select from the autosuggest list.

Undergrad Level

CEEB Code

Your Interests:

What semester do you want to start classes?*

Is there a specific major you are interested in?

Would you like to receive Spanish-translated admission materials?

Would you like to add a parent contact?