Southern Utah University

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Graduate Information Request

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* = Required Field

Personal Information
- Please use proper case when typing your name and address.
- * Last Name
- * First Name
- * Date of Birth
  [mm/dd/yyyy]
- * Mobile Phone
  Please include area code.
- * Email
  Please use lower case when typing your email address.
- * Current Mailing Address
- * City
- * State
- * Zip Code or Postal Code
- State Abbrv.
- * Source
Academic Information Remove Entry
- * College Attended
  If you can't find your University/College type Unknown University
- Most Recently Attended School
- FICE Code
- Education Type
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Intended Major and Interest
- * Intended Graduate Program
- * Year Planning to Attend
- * Semester Planning to Attend
- Academic Interest
- Recruit Type