UA Scholar Information Session

Congratulations on your UA Scholar Award! We'd like to invite you to campus to learn more about the opportunities available to you as a UA Scholar. Please fill out the form below, we look forward to seeing you on Wednesday, April 26th from 6-8 at the University of Alaska Anchorage Campus!

Personal Information

First Name

Last name

Preferred First Name

Date of Birth

Address Information

Country

Mailing Street Line 1

Mailing Street Line 2

Mailing City

Mailing State (US or Can)

Mailing Zip Code (US or Can)

Mailing State/Province

Mailing Postal Code

Contact Information

Mobile Phone

Accept Text Messages?

YesNoText or data rates may apply

Student Information

Anticipated Start Term/Semester

Current/Most Recent High School

High School Grad Year

Session Information

Session

Number of Guests

Do you have any questions for the speaker(s)?

Will you need any special assistance to access the event?

Contact Information