Graduate Request for Information

*All items with an asterisk must be completed. If data turns red, check format.

*First Name

Preferred Name (Enter only if different from your first name above)

If a PREFERRED FIRST NAME is provided, it will be used instead of the person’s legal first name in select university-related systems and documents. Before entering a preferred name, it is recommended that you review the Cal U Preferred First Name Policy.

Middle Name

*Last Name

*Email Address

*Birthdate

*Phone Number

*May we text you?

Yes

No

*Mailing Address

Country

Street

City

Region

Postal Code

*You are going to be a...

Graduate

International Graduate

Visiting Student

*Do you plan to study on campus or online?

On Campus

Online

*Please indicate the graduate program that is of interest to you

*Please choose a concentration

Please note: The Early Childhood Education MEd program does not lead to teaching certification.

Please note: The Technology Education MEd program does not lead to teaching certification.

*When do you plan to start graduate school?

How did you hear about us?

Please describe: