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Marquette University
Undergraduate Admissions Inquiry System

Only fill out this form if you are a domestic student.

Contact Information (*Required Field)
*Title:
*First Name:
Middle Name:
*Last Name:
Suffix:
Preferred/Nickname:
*Street Address:


*City:
*State:
*ZIP/Postal Code:
Telephone Number: (includes area code)	Area Code Number
Email Address:

Personal Information (optional)
Gender: Male Female
Social Security Number: --
Date of Birth: / /
Ethnicity:

Additional Information
*When do you plan to begin study:
*Academic Load: Full Time Part Time
*Standing: Freshman Transfer
High School attending: HS Code
Please use the 'HS Code' search above.
College attending: College Code
Please use the 'College Code' search above.
*Majors: First Choice
Second Choice
Pre-Dent
Pre-Law
Pre-Med
Pre-Physical Therapy
Pre-Physician Assistant

If you have any questions, please email Marquette University's Office of Undergraduate Admissions at: admissions@marquette.edu

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Personal Information (optional)
Gender:	Male Female
Social Security Number:	--
Date of Birth:	/ /
Ethnicity:

Additional Information
*When do you plan to begin study:
*Academic Load:	Full Time Part Time
*Standing:	Freshman Transfer
High School attending:	HS Code Please use the 'HS Code' search above.
College attending:	College Code Please use the 'College Code' search above.
*Majors:	First Choice Second Choice Pre-Dent Pre-Law Pre-Med Pre-Physical Therapy Pre-Physician Assistant
If you have any questions, please email Marquette University's Office of Undergraduate Admissions at: admissions@marquette.edu