Information Request

Thank you for your interest in the University of Michigan! We will use the information you provide in this form to connect you with relevant information and opportunities, so please be as accurate as possible.

Full Legal Name

First Name

Middle Name

Last Name

Contact Information

Preferred First Name

Email Address

Confirm Email Address

Phone Number

Would you like to be periodically contacted via text message on your mobile device?

Mobile phone number

Mailing Address

Country

Street

City

Region

Postal Code

Demographic Information

Birthdate

Sex

Female

Male

Citizenship

The information requested below is optional and will not be used for admissions purposes. It will be used to satisfy federal reporting requirements and may be used for other purposes allowed by law.

Are you Hispanic or Latino/a/x?

Yes

Regardless of you answer to the prior question, please indicate how you identify yourself. (You may select one or more)

Are you applying to be a first-year or transfer student?

First-year

Transfer

Look up your high school

Look up your college

I can't find my school

Graduation Date

Name of School

Location of School (City)

Interests

Which semester do you expect to enroll at U-M?

Explore the University of Michigan's schools and colleges and academic areas.

College of Greatest Interest

First academic area of interest

Instrument or concentration for first area of interest

Second academic area of interest

Instrument or concentration for second area of interest

Parent/Guardian Information

Parent/Guardian 1 Type

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Email

Parent/Guardian 2 Type

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email