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Request Graduate School Information

For undergraduate information use this form instead.

Required fields are marked with *
First Name*:  
Middle Initial:  
Last Name*:  
Current Address*:  
Address line 2:  
Home Telephone  
Cell phone  
Would you like to receive a phone call from a UCM Graduate Studies Staff member to discuss enrollment?:   Yes   No

I am presently in:   High School
     Hours completed
Not Applicable

Graduation date   (yyyy)
Anticipated UCM semester of enrollment  
Anticipated Major:
Ethnic/Racial Status (optional, but desired):  
Please rate your interest in UCM:  

In accordance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Act:

University of Central Missouri's Annual Security and Fire and Safety Report. This report includes statistics for the previous three years of incidents of crime and emergency situations that occurred on-campus; in certain off-campus buildings or property owned or controlled by the University of Central Missouri; and on public property within, or immediately adjacent ot and accessible from, the campus. The report also includes information regarding crime prevention programs, fire statistics, a listing of safety tips, alcohol and drug policies, sexual assault education prevention programs, emergency response, and resources that are available to the campus community in emergencies. You may obtain a paper copy of this report by contacting the UCM Department of Public Safety or by accessign the following website: