Request for Information

We're thrilled that you're exploring opportunities at The University of Alabama in Huntsville (UAH)! Please provide your information below so that we can stay in touch. Go Chargers!

Biographical Information

Student First Name*

Student Middle Name

Student Last Name*

Student Birthdate*

Primary Citizenship

Are you a U.S. Permanent Resident?

Contact Information

Student Email Address*

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Student Mobile Phone

Student Mobile Opt-In

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Admissions Information

Please click on "Learn More" to review which Student Type best describes you.

Student Type Learn More

Entry Term

Academic Interest

Pre-Professional Program (optional)

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Academic Information

Current High School Name

Current High School CEEB

When will you be graduating from your current high school?

Academic Information

Current or Most Recent College Name

Current or Most Recent College CEEB

When will you be graduating from your current or most recent college?

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