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Undergraduate Admission Information Request

Thank you for your interest in the University of Massachusetts Amherst!

Please complete the inquiry form below to receive more information.

We also suggest a campus visit. It’s the best way to really experience UMass Amherst.
Thank you again for your interest in the university. We look forward to meeting you!

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Name & Address Information


Please remember to use upper and lower case characters throughout this form.

First:

Middle Initial:

*  Last or Family:

Suffix:

Is this a U.S. address? Yes   No

*  Street Address 1:

Street Address 2:

(if needed)

*  City:

State:

Zip/Postal:

(U.S. and Canada only)

Country:

(if not U.S.)

Home Phone (US only)

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If this is a temporary address,
when will you be leaving?

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(mm/dd/yyyy)

Email Address:

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Personal Information


*  Date of Birth:

/ / (mm/dd/yyyy - e.g., 02/27/1975)

*  Gender:

Male  Female

Academic Information


Freshman Transfer

High School Graduation Date:

June January

Planned Enrollment Term at UMass:

Fall (September) Spring (January)

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