Admissions Assistant Long Form

This form should be filled out by the AA for students who are not in MyMav.

Intended Degree *
Student's Name Student's Name * First Last
Date of Birth Date of Birth * / MM / DD YYYY
Reason for Visiting
Semester Planning to Attend UT Arlington *
Reason for Visit *

Reason for Visit App/Adm Requirements Questions Apply in Person Check Application Status Walk-in COD Appointment
For COD Session Only

For COD Session Only General UTA Questions How to Apply for Admission Check Application Status Course Transferability Appeal an Admission Decision Denied Student Readmission for a Former student International Admission Financial Aid Scholarships Other
Biographical Information
Email *
Phone Phone * - ### - ### ####
Gender *

Gender Male Female
Current or Most Recent School Attended *
Current Education/Grade Level *
Residency Status *

Residency Status International student Permanent resident or US Citizen
High School Graduation Year *
# of College Hours Completed
# of College Hours taking this semester
Interest Level *
Communication Preference *

Communication Preference Mail Email Phone Text Message
Intended Major or Field of Study *
Admissions Assistant Info
Your Name *
Notes
Previous Admission Counselor Visit
Counselor Name