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UAH Admitted Student Day Registration
Monday, February 16, 2015
**Overnight portion offered Sunday, February 15, 2015
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Street Address
*
Your answer
Street Address 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
High School
*
Your answer
College/University
Your answer
Enrollment Type
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First-time freshman
Transfer
Entry Term
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Summer 2015
Fall 2015
Spring 2016
Intended Major
*
Your answer
Are you interested in sitting in on a class?
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Yes
No
Are you interested in the overnight portion on February 15, 2015?
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Yes
No
T-shirt Size
*
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Other:
How many people will be in attendance (including yourself)?
*
Your answer
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