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UA Fort Smith

 

Campus Visit

 

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Required - indicates a required field.
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Preferred Name:

Street Address:Required
City:Required
State/Region:Required
ZIP or Postal Code:Required
Phone Number:Required - (xxx)-(xxxxxxx)

Date of Birth:Required Month Day Year (YYYY)

E-mail Address:Required
Verify E-mail Address:Required

Intended Start Term:Required

Intended Major:Required

Home Schooled (check for yes):   or  High School Code:Required
High School Name:  
Graduation Year:Required (YYYY)
OR
College Code:
College Name:  
Graduation Year: (YYYY)

Available Dates:Required
 


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Release: 8.5.4