💡 Tips: Undergraduate Admissions Information Request

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If you are a teacher or guidance counselor, please complete the form here so that we may better assist you.

Student Contact Information

Student is a:

First Year Applicant

College Transfer

First Name

Preferred Name

Last Name

Birthdate

Email Address

Mobile Phone

*By providing a mobile phone number, I authorize text messages to the number above and accept responsibility for any charges incurred. I understand I am able to opt out of text messages from MICA by replying STOP.

Address

Country

Street

City

Region

Postal Code

Would you like to add contact info for a parent or support person?

Yes

No

Parent or Support Person Contact Information

Relationship to Student

First Name

Last Name

Email Address

Mobile Phone Number

*By providing a mobile phone number, I authorize text messages to the number above and accept responsibility for any charges incurred. I understand I am able to opt out of text messages from MICA by replying STOP.

Academic Information

I plan to attend MICA for:

Current or last attended school

**If you are a College Transfer student, please list your last attended or current college. High school students should list their current high school.

What program are you most interested in?

Do you have any specific questions we can help you with?
If you do not have questions, please leave this space blank.

By completing this form, I agree to receive communications from MICA and understand that such communications are subject to MICA's Privacy Policy. I understand that I am able to opt-out of these communications at any time.

MICA Admissions

Undergraduate Admissions Information Request

Student Contact Information

Parent or Support Person Contact Information

Academic Information

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