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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
First Name: Required
Middle Name:
Last Name: Required

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:
State or Province:
ZIP or Postal Code:
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

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:
State or Province:
ZIP or Postal Code:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)

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