Enrollment Continuation

Current Graduating Seniors & Recent Graduates of Less Than One Academic Year.

Your handwritten signature is required for this request, you can upload it as an attachment at the bottom of this form.

Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
UTA Student ID or SSN *
What is your current/first major? *
What is your intended second major? (Write N/A if you would like to be considered non-degree seeking) *
What term are you seeking to re-enroll? *
Please tell us why you are taking additional courses. *
Have you applied for grad school at UTA? *

Have you applied for grad school at UTA? Yes No
If yes, what semester & year will you begin grad school?
Draw your signature into the box below. *

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