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Request
for Free Information
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Please use this only to obtain information on enrolling in an academic
or certificate program at
UMT. Current and former UMT students looking for any type of information should
write to studentservices@umtweb.edu.
For any other information, please write to
info@umtweb.edu.
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*Bold Items are required
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General Information
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Please Read
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Undergraduate
Admission Requirements
Graduate Admission
Requirements
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Referred By
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If you select "Other", "Friends", UMT Current Student", or
if you were referred to a specific Admissions Counselor, please add a comment in
the section at the bottom of this page. This is used solely to help direct you to
the best Admissions Counselor for your needs.
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Education Level
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Desired Program
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Help!
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Desired Major
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If
you selected a Certificate or Executive Certificate, please select None
for the Major. Please click
here to learn more about majors.
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Preferred Start Date
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Personal Information
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First Name:
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MI:
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Last Name:
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Gender:
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Prefix:
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Birth Date (mm/dd/yyyy)
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Home Street Address 1
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Home Street Address 2
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Home City
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Home State
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Home Zip or Postal Code
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Home Country
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Citizenship
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Contact Information
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Email
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Phone Number Format:
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US/Canada:
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Area Code-Exchange-Number (e.g., 703-555-1212)
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Other:
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City Code-Number (e.g., 07032-82331)
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| Phone Note | We must have at least one valid phone number! |
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Home Phone
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Work Phone
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Cell Phone
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OK to text?
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Preferred Call Time
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Employment Information
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Current Employer
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(If Active Duty Military, please enter your branch of service. If self-employed,
enter SELF.)
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Work Street Address 1
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Work Street Address 2
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Work City
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Work State
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Work Zip or Postal Code
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Work Country
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U.S. Military Service Information
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Service
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Service Status
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Current/Last Pay Grade
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Separation Date (yyyy)
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GI Bill® Eligible?
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Comments/Questions/Other Information
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