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Name

Student First Name

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Student Middle Name

Student Last Name

Personal Information

Student Birthdate

Student Mailing Address

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Street

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Student Email Address

Student Mobile Phone

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Are you a U.S. citizen?
Citizenship information is used to identify prospective international students for marketing and communication purposes. Providing this information is not required.

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Educational Information

Application Type

Intended Entry Term

High School Name
(search and select school from list)

Hidden: Level of study (freshman)

College Name
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School Address

Country

City

Region

Hidden: Level of study (transfer)

Internal: School CEEB Code

Academic Interest

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Parent/Guardian Information

Please fill out the following fields if your Parent/Guardian would like to receive communications from the Office of Admissions.

Relationship to student

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Phone

About JMU

Inquiry Form