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myBama
Undergraduate Admissions
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⚠️ Important Notice
This request form is intended for school counselors and administrators only. If you are a student interested in The University of Alabama, please submit your request by visiting
https://adm.ua.edu/register/contact
.
First Name
*
Last Name
*
School/Organization
School/Organization CEEB
Email Address
*
Email Address (Device Type)
Crimson Email
Email Address
Evening Phone
Mobile Phone
Primary Phone
Email Address (Device Priority)
High Priority
Normal Priority
Low Priority
Inactive
Name (Display Name)
Question or Message
*
Would you like to request a packet of information?
*
Would you like to request a packet of information?
*
Yes
No
Mailing Address
*
Mailing Address
*
Country
Street
City
Region
Postal Code
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