Name:

Address:

Phone:

E-Mail:

Department/Program:

Date:

Semester enrolling: (i.e. - Fall 05)

Name of Person Recording Inquiry:

How did you hear of our program? (These are all contacts from students to M.U.)

Contact code:
00023 Alumnae Referral
Facutly Referral -- Name of Faculty:
00958 Gradschools.com
00954 Graduate Guide.com
00274 In Person Inquiry/Walk In
01052 Local/Area Resident
Magazine Ad/Article -- Name of Magazine:
01028 Newspaper Ad/Article
00443 E-mail from Prospective Student
00043 Letter from Prospective Student
09013 Peterson's Guide
01043 Previous UG Graduate
09010 Referral from Home College
01053 Referral from Employer
10104 Web Inquiry/Internet Search
Other -- Please explain: