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Online Inquiry Form

This form is for domestic students only. Unfortunately at this time we do not mail brochures or other printed materials to international addresses. Please refer to our international student information. If you have additional questions, please Contact Us.

Step 1: Prospective Students Information

Note * are required fields.
First Name:*
Preferred First Name:
Middle Initial:
Last Name:*
Suffix: ex .( jr. III )
Date of Birth:* Month    Day    Year
Address:*
City:*
State:*
ZIP Code:*
Country:*
Telephone:
Cell Phone:
Email:*
IM Address:
IM Provider: 
MySpace Address:
Please Leave Blank:
Gender: (optional) M F
 
 
You may be entitled to know what information UT Arlington (UTA) collects concerning you. You may review and have UTA correct this information according to procedures set forth in UT System BPM #32. This law is found in sections 552.021, 552023 and 559.004 of the Texas Government Code.
   
*Information regarding sex and ethnic background is based on Federal Affirmative Action reporting requirements and will be used for standard purposes only. It will neither enhance nor impede your admission request.
   

 
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