UofM Global Inquiry Form

PERSONAL INFO

First Name

Preferred First Name (Optional)

Middle Name

Last Name

Suffix (Optional)

Birthdate

CONTACT INFO

Email Address

Email Address Confirmation

Home Phone Number

Cell Phone Number

Would you like to receive text messages from The University of Memphis?

Yes

No

INTERESTS

When do you expect to enroll at the UofM?

Will you be pursuing an undergraduate or graduate level program?

Primary Academic Interest:

Secondary Academic Interest (Optional):