University of Kansas Graduate Programs: Request for Information

First Name

Preferred First Name (If different than given first name)

Last Name

Email Address

Birthdate (used for matching purposes only)

Mobile Phone

I consent to receive text messages from the University of Kansas Graduate Programs.

Yes

No

Which of the following best describes your citizenship?

US Citizen

US Permanent Resident

Other US Residency Status

Citizen of Other Country

HIDDEN: US Citizen

HIDDEN: PR

Yes

No

Primary Country of Citizenship *

Are you interested in an on campus or online program?

Academic Area of Interest

Program of Interest

Specialization/Concentration

This program is offered on multiple campuses. Which campus are you interested in attending?

HIDDEN: DIMC Campus

Term You Plan to Enroll