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UA Fort Smith

 

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First-time Student

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

Address Line 1:Required
Address Line 2:
City:Required
State or Province:Required
ZIP or Postal Code:Required

Cell Phone: - (xxx)-(xxxxxxx)

Opt In:

Major:

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

Parent E-mail Address:
Verify Parent E-mail Address:

Date of Birth:Required Month Day Year (YYYY)

Ethnicity:

Do you consider yourself to be Hispanic/Latino?

Hispanic or Latino
Not Hispanic or Latino

Select one or more races to indicate what you consider yourself to be:

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Expected Start Date:Required

Home Schooled (check for yes):
OR
High School Code:
High School Name:Required
High School Graduation Date:Required Month Day Year (YYYY)

To select multiple interests, hold CTRL key while selecting your choices.

Interests:

How I Learned About UA Fort Smith:

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Release: 8.7.2