Request Undergraduate Information Tell us a little about yourself First Name Last Name Address City State --- Select --- AE AP Outside US Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York None Selected North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code/Postal Code Country (if not USA) E-mail Address Home Phone (Include area code) Cell Phone (Include area code) Gender --- Select --- Male Female High School and Previous College Information High School Address City, State High School Graduation Year 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Date planning to enter UD: January June August 2018 2019 2020 2021 2022 2023 Have you attended college? Yes No If so, where? (list in order from most recent) Information Requested Undergraduate Intended Major First Choice --- Select --- Exploring (Undecided) Accounting Applied Aviation Technology Aviation Management Biology Business Chemistry Christian Studies Communication Computer Forensics & Security Computer Information Systems Computer Information Technology Criminal Justice Digital Art and Design Elementary Education English Environmental Science Fine and Performing Arts Flight Operations Health Care Admin (LIFE only) Health Education K-12 Human Health Science Human Resource Management Liberal Studies Marketing Mathematics Nursing Philosophy Physical Education K-12 Pre-Health Professions Pre-Law Psychology Secondary Education - Basic Science Secondary Education - Biology Secondary Education - Chemistry Secondary Education - English Secondary Education - Environmental Biology Secondary Education - Math Sociology Sports Marketing and Management Wellness and Exercise Science MBA MAC Second Choice --- Select --- Exploring (Undecided) Accounting Applied Aviation Technology Aviation Management Biology Business Chemistry Christian Studies Communication Computer Forensics & Security Computer Information Systems Computer Information Technology Criminal Justice Digital Art and Design Elementary Education English Environmental Science Fine and Performing Arts Flight Operations Health Care Admin (LIFE only) Health Education K-12 Human Health Science Human Resource Management Liberal Studies Marketing Mathematics Nursing Philosophy Physical Education K-12 Pre-Health Professions Pre-Law Psychology Secondary Education - Basic Science Secondary Education - Biology Secondary Education - Chemistry Secondary Education - English Secondary Education - Environmental Biology Secondary Education - Math Sociology Sports Marketing and Management Wellness and Exercise Science MBA MAC Athletic Interests First Choice -- Select -- Baseball Cheer and Stunt Cross Country Football Men's Basketball Men's Golf Men's Lacrosse Men's Soccer Men's Tennis Softball Track and Field Volleyball Women's Basketball Women's Golf Women's Lacrosse Women's Soccer Women's Tennis Wrestling Second Choice -- Select -- Baseball Cheer and Stunt Cross Country Football Men's Basketball Men's Golf Men's Lacrosse Men's Soccer Men's Tennis Softball Track and Field Volleyball Women's Basketball Women's Golf Women's Lacrosse Women's Soccer Women's Tennis Wrestling Performing Arts Interests Band Choir Theatre Are you interested in Army ROTC Yes No How did you find out about the University of Dubuque? --- Please Select --- Athletic Coach College Fair Friend/Family Member High School Counselor High School Visit Internet Search Magazine Mailing Other Submit Your Request Clear
