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!

Experience issues with this form? Contact us at futureseawolf@alaska.edu or (907) 786-1480, option 2.

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

Accept Text Messages?

YesNoText and data rates may apply

Confirm Email

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Mailing Address

We’d love to send you some fun swag!

Mailing Street

Mailing Street Line 2 (apt/suite/unit number)

Mailing City

Mailing State

Mailing Zip/Postal Code

Parent/Guardian Information

First Name

Last Name

Parent Email

Confirm Parent Email

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Address Information - International Students

Mailing Street

Mailing Street Line 2

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Mailing Country/Nation

Academic Interest Information

Are you interested in:

an undergraduate program (associate, bachelor’s, occupational endorsement certificate)?a graduate program (master’s, doctorate, graduate certificate)? You've already completed a baccalaureate degree.

What academic program are you interested in? (Choose "Exploratory" if you are unsure of your major.)

Which Graduate Programs

When do you plan to start?

Topic of Interest

How can we best assist you? Where would you like to get started?

Academic ProgramsHow to Pay for College (Scholarships)Career Outlook InformationNone of these? Chat with an admissions counselor!

What’s the best way to reach you?

Phone:

Email:

Tell us a little more about how we can help you:

High School Information

Current/Most Recent School

High School Grad Year

College Information

Current/Most Recent College

College Grad Year

The University of Alaska (www.alaska.edu) is an Equal Opportunity/Equal Access Employer and Educational Institution.
The University is committed to a policy of non-discrimination (www.alaska.edu/nondiscrimination)
against individuals on the basis of any legally protected status.