UML - Graduate Admissions
Undergraduate Admissions - UMass Lowell Home

Undergraduate Academic Information Request

Please complete this form to receive an undergraduate admissions application packet. When you have completed this form, press the "Submit Request" button.

Please Note: The personal information you provide below, including Social Security Number, ethnicity, gender, and date of birth, is used only to prevent duplication and ensure data accuracy. This information will remain confidential. Asterisks denote required fields.


Are you an international student?
International Status
Is your permanent address also your mailing address?
Permanent Address (This should be your PERMANENT, LEGAL address
and SHOULD NOT be a PO Box or Dorm address)

(Leave blank if not applicable)

(Leave blank if not applicable)

(Leave blank if not applicable)
Country United States
Preferred U.S. Telephone
(Please include area code)
(###-###-####)

 /   /  (mm/dd/yyyy)
 -   - 
You will be applying as:
Admission Type

(from another UMass campus)
/ / (mm/dd/yyyy)
Please tell us what area you are interested in studying.*
   
  Ethnicity

Colleges and universities are asked by many, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to answer the following two questions:

  1) Are you Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
 
Yes, I am Hispanic or Latino
No, I am not Hispanic or Latino


2) Please check one or more of the following groups in which you identify yourself as a member.
  White (A person having origins in any of the original peoples of Europe, the Middle East or North Africa.)

Black or African American (A person having origins in any of the black racial groups of Africa, the Caribbean and Cape Verde.)

Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent and the Philippines.)

Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

American Indian or Alaskan Native (A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.)



Undergraduate Admissions - UMass Lowell Home

Office of Undergraduate Admissions . University of Massachusetts Lowell
883 Broadway Street, Room 110 . Lowell, MA 01854-5104
Tel. 800-410-4607 or 978-934-3931 . Fax 978-934-3086 Email: admissions@uml.edu