UA Graduate College Distance Campus Request for Information

Thank you for your interest! You'll also find helpful information on our Future Students website. Your contact information will be shared with the graduate coordinator in the UA graduate program(s) you choose from the programs of interest list below.

Personal Information

*Required

First (Given) Name*

Last (Family) Name*

Email*

Phone Number

Please include area code

You may send text messages to me at this number. (Standard texting rates may apply)

Yes

Birthdate (Optional)

Primary Citizenship

Are you Hispanic or Latino?

Yes

Under federal reporting guidelines, you may choose not to respond to this question. Choosing to respond or not to respond will not prejudice your application in any way.

Are you a U.S. Permanent Resident?

Yes

Educational Profile / Interests

Use "Ctrl + click" to select multiple options.

Chandler

Douglas

Flowing Wells

Gilbert

Nogales

Phoenix

Pima - Desert Vista

Sierra Vista

Yuma

Which semester and year do you intend to enroll at UA?

If there's any information you'd like to add, please enter it here. This is also a great place to tell us more about what you'd like to study if you aren't sure about which program to choose from the lists above.

Additional notes

By submitting this form, you consent to allow your data to be used in accordance with UA Information Security & Privacy. Use of personal data is governed by UA Electronic Privacy Policy.