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Information Request

  

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Information Thank you for your interest in learning more about our programs at Eastern New Mexico University!

Required - indicates a required field.
Information Please enter your name as it appears on your legal government documents (passport, driver's license etc.). If you prefer a different name you can enter it in the nickname section.

Prospect Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Information Please enter your Birthday.

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

Information Please select a gender.

Prospect Gender
Gender: Male Female Not Specified

Information Where should we send your mail? The address you list will be used throughout the admission process.

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Information What email would you like to receive pertinent information about ENMU?

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Information When do you plan to start?

Prospect Entry Term
Term of Entry:Required

Information What area are you interested in studying while at ENMU?

Prospect Interests
Interests:Required

Information This is sample information text for the PRIORCOLL section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Prospect Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

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Release: 8.7.2.12