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General Inquiry Form
Student Status
Freshman
Graduate
Readmit
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First Name
Middle Name
Last Name
Birthdate
January
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1905
1904
1903
1902
1901
1900
Email Address
Mobile Phone - (If no Mobile Phone / please add home phone number here)
Home Phone
Parent Email (Freshman only)
Mailing Address
Country
Street
City
Region
Postal Code
Citizenship
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Are you a U.S. Permanent Resident?
Yes
No
Gender
Female
Male
Hispanic
Yes
No
Race
American Indian or Alaska Native
Asian
Latino / Hispanic / Chicano
Middle Eastern
Multi-racial
Native Hawaiian or Other Pacific
Not Specified
Other
Other Christian
White
Black or African American
Religion
Baptist
Buddhist
Eastern Christian Orthodox
Hindu
Jewish
Lutheran
Methodist
Muslim
None
Other
Other Christian
Prefer not to respond
Protestant
Roman Catholic
Unknown
Worldwide Church of God
Do you have a Bachelor's Degree? (Transfer Students Only)
No
Yes
Entry Term
2020 Fall
2020 Winter
2020 Summer
2021 Fall
2022 Fall
2023 Fall
2024 Fall
2025 Fall
2026 Fall
High School Graduation Year (Freshman only)
2008
2009
2010
2011
2012
2013
2014
2023
2024
2015
2016
2017
2018
2019
2020
2021
2022
High School / College
CEEB (Freshman only)
Grade Point Average (Freshman only)
SAT/ACT Score
Freshman Majors
5-Year Accounting - Accelerate Bachelor's to Master's Degree
5-Year Business Administration - Acellerated Bachelor's to Master's Degree
5-Year Civil Engineering - Accelerated Bachelor's to Master's Degree
5-Year Civil Engineering to Environmental Engineering - Accelerated Bachelor's to Master's Degree
5-Year Computer Information Systems to Information Assurance - Accelerated Bachelor's to Master's Degree
5-Year Computer Information Systems to Intelligence Analysis - Accelerated Bachelor's to Master's Degree
5-Year Criminal Justice - Accelerated Bachelor's to Masters's Degree
5-Year Criminal Justice to Intelligence Analysis - Accelerated Bachelor's to Master's Degree
5-Year Economics - Accelerated Bachelor's to Master's Degree
5-Year Electrical Engineering - Accelerated Bachelor's to Master's Degree
5-Year Engineering to Electrical & Computer Engineering - Accelerated Bachelor's to Master's Degree
5-Year Industrial/Organizational Psychology - Accelerated Bachelor's to Master's Degree
5-Year Mechanical Engineering - Accelerated Bachelor's Degree to Law School
5-Year Robotics & Mechatronic Systems Engineering - Accelerated Bachelor's to Master's Degree
5-Year Software Engineering - Accelerated Bachelor's to Master's Degree
7-Year Civil Engineering - Bachelor's Degree to Law School
7-Year Dentistry - Biology - Accelerated Bachelor's to Dental School
7-Year Dentistry - Chemistry/Biochemistry - Accelerated Bachelor's to Dental School
7-Year Electrical Engineering - Bachelor's Degree to Law School
7-Year Mechanical Engineering - Bachelor's Degree to Law School
Academic Exploration
Accerelated 5-Year Physician Assistant
Accounting
Addiction Studies
Architectural Engineering
Architecture
Biochemistry
Biology
Business Administration
Chemistry
Civil Engineering
Communication Studies
Computer Information Systems - Software Production & Management
Criminal Justice
Cyber Security
Dental Hygiene
Developmental Psychology
Digital Media Studies
Economics
Electrical Engineering
Engineering
Engineering - Undecided
English
Financial Economics
Health Exploration
Health Services Administration
Health Systems Management
History
Industrial/Organizational Psychology
Liberal Studies
Mathematics
Mechanical Engineering
Nursing
Philosophy
Political Science
Pre-Dent/Pre-Med (Engineering)
Pre-Dental (multiple majors available)
Pre-Dentistry
Pre-Dentistry - Biology
Pre-Dentistry - Chemistry/Biochemistry
Pre-Dentistry - Engineering
Pre-Law
Pre-Medicine - Biology
Pre-Medicine - Chemistry/Biochemistry
Pre-Medicine - Engineering
Pre-Occupational Therapy - Biology
Pre-Occupational Therapy - Chemistry
Pre-Optometry - Biology
Pre-Optometry - Chemistry
Pre-Pharmacy - Biology
Pre-Pharmacy - Chemistry
Pre-Physical Therapy - Biology
Pre-Physical Therapy - Chemistry
Pre-Physician Assistant - Biology
Pre-Physician Assistant - Chemistry/biochemistry
Pre-Podiatry- Biology
Pre-Podiatry- Chemistry
Pre-Veterinary - Biology
Pre-Veterinary - Chemistry
Product Development
Psychology
Religious Studies
Robotics and Mechatronic Systems Engineering
School Counseling
Security Administration
Social Work
Sociology
Software Engineering
Theatre
Transfer Majors
Academic Exploration
Accounting
Addiction Studies
Architectural Engineering
Architecture
Biochemistry
Biology
Business Administration
Certificate in African American Studies
Certificate in Catholic Studies
Certificate in Dental Hygiene
Certificiate in Addiction Studies
Chemistry
Civil & Environmental Engineering
Civil Engineering
Communication Studies
Criminal Justice
Cyber Security
Dental Hygiene
Dental Hygiene Degree Completion
Developmental Psychology
Digital Media Studies
Economics
Education
Electrical Engineering
Elementary Education
Engineering
Engineering - Undecided
Engineering Management
English
Financial Economics
Health Exploration
Health Services Administration
History
Industrial/Organizational Psychology
Information Assurance
Liberal Studies
Mathematics
Mechanical Engineering
Nursing - Part Time
Nursing Second Degree (Completed Bachelor's in another program)
Philosophy
Political Science
Pre-Dent/Pre-Med (Engineering)
Pre-Dental (multiple majors available)
Pre-Dentistry
Pre-Dentistry - Biology
Pre-Dentistry - Chemistry/Biochemistry
Pre-Dentistry - Engineering
Pre-Law
Pre-Medicine - Biology
Pre-Medicine - Chemistry/Biochemistry
Pre-Medicine - Engineering
Pre-Physician Assistant - Biology
Pre-Physician Assistant - Chemistry/biochemistry
Pre-Occupational Therapy - Biology
Pre-Occupational Therapy - Chemistry
Pre-Optometry - Biology
Pre-Optometry - Chemistry
Pre-Pharmacy - Biology
Pre-Pharmacy - Chemistry
Pre-Physical Therapy - Biology
Pre-Physical Therapy - Chemistry
Pre-Podiatry- Biology
Pre-Podiatry- Chemistry
Pre-Veterinary - Biology
Pre-Veterinary - Chemistry
Psychology
Religious Studies
Robotics and Mechatronic Systems Engineering
School Counseling
Secondary Education (High School)`
Social Work
Sociology
Software Engineering
Theatre
Graduate Majors
Addiction Counseling (Graduate)
Applied Data Analytics (Masters)
Adult Gerontology Clinical Nurse Specialist Post-Master's Certificate (Graduate)
Advanced Electric Vehicle (Graduate Certificate)
Architecture (Graduate)
Architecture Dual Degree Civil Engineering (Graduate)
Business (Graduate)
Business Administration (Graduate)
Business Administration Dual Degree with Health Services Administration (Graduate)
Business Administration/Software Management Dual Degree (Graduate)
Business Fundamentals Graduate Certificate
Business Turnaround Management Certificate (Graduate)
Certificate in Addiction Studies
Civil and Environmental Engineering (Doctorate)
Civil Engineering (Masters)
Clinical Mental Health Counseling (Graduate)
Clinical Nurse Leader (Graduate)
Clinical Nurse Leader Certificate (Graduate)
Clinical Psychology PhD (Graduate)
Clinical Psychology MA (Graduate)
Clinical Psychology PhD w/MA (currently holds a Bachelor's degree) (Graduate)
Community Development (Graduate)
Computer & Information Systems Software Management (Graduate)
Criminal Justice (Graduate)
Doctorate Mechanical Engineering (Graduate)
Doctorate of Nursing Practice (Graduate)
Economics (Graduate)
Electrical & Computer Engineering (Doctorate)
Electrical & Computer Engineering (Masters)
Engineering (Graduate)
Engineering Management (Graduate)
Environmental Engineering (Masters)
Ethical Leadership & Change Management Certificate (Graduate)
Family Nurse Practitioner (Graduate)
Family Nurse Practitioner Certificate (Graduate)
Finance Certificate (Graduate)
Financial Economics (Graduate)
Forensic Accounting Certificate (Graduate)
Health Services Administration Dual Degree with Business Administration (Graduate)
Health Services Administration Post-Bachelor's Certificate's (Graduate)
Health Services Administration (Graduate)
Health Services Administration Dual Degree with Business Administration (Graduate)
Health Services Administration Management Post Bachelor's Certificate (Graduate)
Health Services Administration Post-Bachelor's Certificate (Graduate)
Health Systems Management (Graduate)
Health Systems Management Post-Bachelor's Certificate (Graduate)
Industrial/Organizational Psychology (Graduate)
Information Assurance (Graduate)
Intelligence Analysis (Graduate)
Liberal Studies (Graduate)
Mechanical Engineering (Doctorate)
Mechanical Engineering (Masters)
Nursing with a Family Nurse Practitioner major w/DNP track (Graduate)
Nursing with an Adult Gerontology CNS major w/DNP track (Graduate)
Nursing with Clinical Nurse Leader major w/DNP track (Graduate)
Nursing with Health Systems Management major w/DNP track (Graduate)
Nursing with Nursing Educator major (Graduate)
Nursing: Doctor of Nursing Practice with a Family Nurse Practitioner major (Graduate)
Nursing: Doctor of Nursing Practice with an Adult Gerontology CNS major (Graduate)
Nursing: Doctor of Nursing Practice with Clinical Nurse Leader major (Graduate)
Nursing: Doctor of Nursing Practice with Health Systems Management major (Graduate)
Nursing: Doctor of Nursing Practice with Nursing Educator major (Graduate)
Nurse Anesthesia (Graduate)
Nursing (Graduate)
Nursing (Graduate) - Emergency Nurse Practitioner Post-Master's Certificate
Nursing Education Adult Gerontology Clinical Nurse Specialist (Graduate)
Nursing Education Certificate (Graduate)
Nursing Leadership/Financial Management Certificate (Graduate)
Outcomes Peformance Management Certificate (Graduate)
Product Development (Masters)
Religious Studies (Graduate)
School Counseling (Graduate)
School Counselor Endorsement (Post-Graduate)
School Counselor License (Post-Graduate)
School Psychology Specialist (Graduate)
School Psychology Specialist w/MA (Currently holds a Bachelor’s degree only) (Graduate)
Smart and Autonomous Vehicles (Graduate Certificate)
Software Engineering (Masters)
Systems Engineering (Graduate Certificate)
Teaching of Mathematics (Graduate)
Technical Management (Masters)
Unclassified (Graduate)
Unclassified Arch (Graduate)
Unclassified Business (Graduate)
Unclassified Engineering (Graduate)
Unclassified Health Professions (Graduate)
Unclassified Liberal Arts & Education (Graduate)
Unclassified Nursing (Graduate)
Unclassified Science (Graduate)
Have you served in the United states Military?
No
Yes
At which campus or location do you plan to attend classes
Brother Rice High School
BSN Completion Hospital
Hamtramck High School
Marian High School
Mercy Health St. Mary's Campus
McNichols Campus - Main Campus
University Center - WCCCD
University Center - Macomb
Online (Graduate Only)
Andover High School
VA Ann Arbor Healthcare System
Aquinas College
BASF
Bishop Foley High School
Bloomfield Hills High School
Brazil-Study Abroad
Calsonic Kansei
Children's Hospital of Michigan
Clinton-Macomb Public Library
Colombiere Conference Center
DMC-Rehabilitation Institute of Michigan
Denso International
Corktown Campus - School of Dentistry
Detroit Institute of Arts
Detroit Medical Center
Detroit Receiving Hospital
Ecumenical Theological Semin
Engineering Society of Detroit
Everest Collegiate HS Academy
Fairlane Training & Developmnt
Ford Motor Company-Rotunda Campus
Fu Jen Catholic University
Hackley Hospital
Hamtramck High School
Harper Hospital
Henry Ford Hospital-Ford Place
Henry Ford Macomb Hospital
Henry Ford West Bloomfield
Henry Ford Wyandotte
Huron Valley-Sinai Hospital
International Institute
Ishtar Cultural Center
Jalen Rose Leadership Academy
John D. Dingell VA Medical Center
Ladywood High School
Lancaster University
Law School
Madonna University
Manressa Retreat House
Marygrove College
McLaren Medical Center Oakland
Mercy General Muskegon
Mercy High School
Nissan Technical Center
Notre Dame Preparatory School
Novi Public Library
OCC-Auburn Hills Campus
Oakwood Hospital
-
Off-Campus
Online & On-campus
Politechnika Warszawska
Providence Hospital
Providence Park Hospital
Royal Oak Public Library
Sacred Heart Seminary
Shrine High School
Sinai-Grace Hospital
South Bank University-London
St. John's Hospital
St. John's Hospital-Macomb
St. Joseph Mercy-Ann Arbor
St. Joseph Mercy-Oakland
St. Mary Mercy Hospital
St. Mary's Health Care
University of Detroit Jesuit High School
University of Windsor
Volterra Program-Italy
Wayne State University
William Beaumont Hospital
William Beaumont Hospital-Troy
To select multiples below, hold down the Ctrl Key as you click on each item with the mouse
Career Interest
Accountant or actuary
Actors
Actuaries
Addiction Counselors
Administrative Services Managers
Adult Educators
Advanced-Practice Nurses
Advertising Sales Agents
Advertising, Marketing, and Public Relations Managers
Aerospace Engineers
Agricultural and Food Scientists
Agricultural Engineers
Anesthesiologists
Announcers
Anthropologists and Archaeologists
Architects
Architecture, Engineering, and Drafting
Archivists
Art Directors
Arts Administrators
arts, visual & performing
Athletes
Athletic Trainers
Biological/Health-related Research/Scientist
Biomedical Engineers
Broadcast and Sound Engineering Technicians
Budget Analysts
Budget Analysts
Business
Business and Finance
Buyers and Purchasers
Camera Operators and Editors
Cardiovascular Technologists
Career oriented
Chemical Engineers
Chemists and Materials Scientists
Child, Family, and School Social Workers
Chiropractors
Choreographers
Civil Engineers
Claims Adjusters, Examiners, and Investigators
Clinical Laboratory Technologists
Clinical Psychologists
Coaches and Scouts
Community and Social Services
Community or service organization
Community or service organization
Community Organizers and Activists
Composers
Computer and Information Systems Managers
Computer Hardware Engineers
Computer Programmers
Computer Scientists
Computer Support Specialists
Computer Systems Analysts
Computers and Math
Conservation Scientists
Conservators
Construction Managers
Cooperative or service organization
Cooperative work or internship
Copy Editors
Copywriters
Correctional Officers
Cost Estimators
Court Reporters
Craft Artists
Criminal Justice
Criminology/Psychology
Curators
Dance activity
Dancers
Database Administrators
Debating or public speaking
Dental Assistants
Dental Hygienists
Dentists
Detectives
Diagnostic Medical Sonographers
Dietetic Technicians
Dietitians and Nutritionists
Directors
Doctor or Physician
Drafters
Drama or theater
Economists
Editors
Education Administrators
Education, Museum Work, and Library Science
Educational, Vocational, and School Counselors
Electrical Engineers
Elementary, Middle, and High School Teachers
Emergency Medical Technicians and Paramedics
Engineer
Engineering and Science Managers
Engineering Technicians
Environment
Environmental Educators
Environmental Engineers
Environmental Inspectors
Environmental Scientists
Ethnic or cross-cultural
Exhibit Designers and Museum Technicians
Fashion Designers
Federal Agents
Financial Analysts
Financial Managers
Fine Artists
Firefighters
Floral Designers
Food Service Managers
Foreign exchange or study abroad
Foreign language activity or club
Foreign Service Officers
Forensic Psychology
Forensic Scientists
Foresters and Forestry Technicians
Free type
Free type
Funeral Directors
General Practitioners
Geographers
Geographic Specialists
Geoscientists
Government Accountants and Auditors
Government Executives and Legislators
Government Lawyers
Government or political activity
Graphic Designers
Gynecologists and Obstetricians
Health and Medicine
Health Care Support
Health Diagnosis and Treatment
Health Educators
Health Information Technicians
Health Technology
Historians
Honors or independent study
Human Resources Managers
Human-Service Assistants
Illustrators
Imams
In-House Lawyers
Industrial Designers
Industrial Engineers
Industrial Production Managers
Industrial Psychologists
Instructional Coordinators
Insurance Sales Agents
Insurance Underwriters
Interior Designers
Internists
Interpreters
Intramural or junior varsity
Journalism or literary activity
Judges
Labor Relations Managers
Landscape Architects
Law and Government
Lawyer (attorney) or judge
Librarians
Library Technicians
Licensed Practical Nurses
Loan Officers and Counselors
Lodging Managers
Management Accountants and Internal Auditors
Management Consultants
Market and Survey Researchers
Marriage and Family Therapists
Massage Therapists
Materials Engineers
Mathematicians
Mechanical Engineers
Media and Communications
Medical and Health Services Managers
Medical and Public Health Social Workers
Medical Assistants
Medical Billers and Coders
Medical Scientists
Medical Transcriptionists
Meeting and Convention Planners
Mental Health and Substance Abuse Social Workers
Mental Health Counselors
Meteorologists
Mining and Geological Engineers
Multimedia Artists and Animators
Musicians and Singers
Network and Computer Systems Administrators
Network Systems and Data Communications Analysts
News Analysts, Reporters, and Correspondents
Nuclear Engineers
Nuclear Medicine Technologists
Nuns and Monks
Nursing, Psychiatric, and Home Health Aides
Occupational Health and Safety Specialists
Occupational Therapist Assistants
Occupational Therapists
Operations Research Analysts
Opticians, Dispensing
Optometrists
Other
Paralegals
Park Rangers
Pathologists
Pediatricians
Personal Financial Advisors
Petroleum Engineers
Pharmacists
Pharmacy Technicians
Photographers
Physical Therapist Assistants
Physical Therapists
Physician Assistants
Physician/Doctor
Physicists and Astronomers
Podiatrists
Police Officers
Political Scientists
Postsecondary Teachers
Preschool Teachers
Preserve Managers
Priests
Private Detectives
Private-Practice Lawyers
Probation Officers and Correctional Treatment Specialists
Program Directors
Property Managers
Protective Services
Protestant Ministers
Psychiatrists
Public Accountants
Public Interest Advocates
Public Interest Lawyers
Public Relations Specialists
Rabbis
Radiation Therapists
Radiologic Technologists
Radiologists
Real Estate Appraisers
Real Estate Brokers and Sales Agents
Recreation and Fitness Workers
Recreational Therapists
Registered Nurses
Rehabilitation Counselors
Religious activity or organization
Research Psychologists
Respiratory Therapists
ROTC or junior ROTC
Sales Engineers
Sales Representatives, Wholesale and Manufacturing
Sales Worker Supervisors
School Psychologists
School-spirit activity
Science
Science or mathematics activity
Science Technicians
Science, Math, and Technology
Security Guards
Set Designers
Social Science
Sociologists
Software Developers
Special Education Teachers
Speech-Language Pathologists and Audiologists
Speech-Language Pathology Assistants
Sports and Fitness
Statisticians
Stockbrokers and Financial Services Sales Agents
Surgeons
Surgical Technologists
Tax Examiners, Collectors, and Revenue Agents
Teacher Assistants
Technical Writers
Theater, Film, and TV Technicians
Top Executives
Trainers
Translators
Travel Agents
Umpires and Referees
Undecided
Urban and Regional Planners
Varsity or amateur
Veterinarians
Veterinary Technologists and Technicians
Water- and Wastewater-Treatment-Plant Operators
Web Designers
Wildlife Technicians
Writers
Extra Curricular Interest
Band
Business/Entrepreneurship
Cheerleading
Choir
Community Service
Debate
Environmental Activism
Foreign Language
Greek Life
Intramural/Club Sports
Journalism/Literacy Organization
MultiCultural
Performing Arts
Radio/TV
Religous Activity
ROTC
Sports
Student Government
Study Abroad
Visual Arts
Other (Specify Below)
Other - Extra Curricular Interests:
How did you hear about University of Detroit Mercy
Athletic coach
UDM website
Internet
UDM admissions counselor
Guidance counselor or teacher
Parent or family member
Information mailed to my home
Radio
Pandora
TV
Other (please specify below)
Other Info
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