Request for Information

Want more information about the University of Alaska Anchorage? Fill out and submit this form to receive details about academics, visit opportunities, upcoming events, student life and more!

Biographical Information

First Name

Last Name

Preferred First Name

Birthdate

MM/DD/YYYY

Select any/all that apply:

I am in the military/I am a veteran	I am an Alaska Native
I am an international student	I am a first-generation college student

Country of Citizenship

Country of Residence

Contact Information

Mobile

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Parent/Guardian Information

First Name

Last Name

Parent Email

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Address Information

Mailing Street

Mailing Street Line 2

Mailing City

Mailing State

Mailing Zip/Postal Code

Address Information - International Students

Mailing Street

Mailing Street Line 2

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Mailing Country/Nation

Academic Information

Student Type

Freshman: Currently in high school, or have graduated high school without attending college.

Transfer: Have been enrolled in a college or university after graduating high school.

Graduate: Have earned (or are currently earning) an undergraduate degree and will be seeking a graduate degree.

Anticipated Start Term

UAA Major of Interest

Choose "Exploratory" if you are unsure of your major.

High School Information

Current/Most Recent School

High School Grad Year

College Information

Current/Most Recent College

College Grad Year