THIS FORM IS TO REQUEST GRADUATE APPLICATION MATERIALS AND INFORMATION.


Please enter ALL information in CAPITAL letters.
* Indicates a required field.


If you have not completed (or will not be completing during the next year) a bachelor's degree, you are eligible for undergraduate admission only.

For information on applying as an undergraduate, please go to http://apply.cmich.edu (U.S. citizens and green card holders) or http://www.oie.cmich.edu (citizens of other countries).


Request for Information
If you have not completed (or will not be completing during the next year) a bachelor's degree, you are eligible for undergraduate admissions only.
FIRST (given) NAME:*
MIDDLE NAME:
LAST (family) NAME:*
Birthdate:*
mm/dd/yyyyy
EMAIL ADDRESS:
 
MAILING ADDRESS:
Street Address Line 1*


Street Address Line 2


City*


State


Zip/Postal Code


Country*
 
Telephone Number:
(For International numbers - please include country and city codes)
 
Are you a U.S. Citizen/Permanent Resident?*

Yes No

 
Ethnicity (for U.S. Citizens Only):

If you are multiracial, please mark all that apply. For purposes of this question, you are considered to be multiracial if you have parents from more than one of the broad categories listed or if at least one of your parents is multiracial.

American Indian, Eskimo, or aleut (AIE)
Asian or Pacific Islander (API)
Black
Hispanic
White
 
PROGRAM OF INTEREST:*

Please make your selection from the following drop down menu. You may choose more than one option by holding down the Control Key (CTRL) and using your mouse to click on all of your choices. (THIS IS A REQUIRED FIELD.)


 
Desired Term of Enrollment (please select one term of enrollment and type the year you wish to enter):
Spring (January)
Summer I (May)
(domestic applicants only)
Summer II (June)
(domestic applicants only)
Fall (August)
 
Please indicate if you would like the following:

Graduate Assistantship Application
Diversity Fellowship Application