UHD Office of Admissions

STUDENT INFORMATION

*First Name

*Last Name

*UHD ID:

*DOB:

Month:

Day:

Year:

CONTACT INFORMATION

Home Phone
Alternate Phone

*Email:

*Address:

*City:

*State:

*Zip:

Note: A mailing address is required in order to receive confirmation of your orientation session.

ADMISSION INFORMATION

Have you been accepted as a UHD student? (only admitted students can attend orientation)
Which semester are you planning to start classes?
INTENDED MAJOR:

ORIENTATION INFORMATION

* Pick your Orientation Dates: (Select two other alternate times in the event that your first choice is not available)
*1st Choice
*2nd Choice
Driving to campus? Will you need a parking day pass? Yes No

ACADEMIC ADVISING INFORMATION

Please select one of the following choices.
	I would like to be advised during my orientation program.
	I have been advised or will be advised before my orientation program.
Note:	All transfer students can be advised and register for classes prior to attending transfer orientation!