Bama Knoxville A$AP

Student Information

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Last Name *

Preferred Name

Mailing Address *

Country

Street

City

Region

Postal Code

Email Address *

Birthdate *

Mobile Phone Number *

May we send you SMS (text) messages? *

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Projected Entry Term *

Student Type *

High School Information

High School *

High School Code (CEEB)

High School Graduation Date *

GPA (if known)

Highest ACT Composite Score (if known)

Highest SAT Total Score (if known)

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Relationship Type

Do you have a parent or grandparent that has graduated from The University of Alabama? If so, whom:

Degree Received

Year Received

Is the degree holder a current member of the National Alumni Association?

The University of Alabama is committed to complying with the Americans with Disabilities Act. Please make your request for accommodations at least ten calendar days in advance.

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Bama Knoxville A$AP

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