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International Students only, please complete the following information to help us better serve you.  After you have entered the requested information, please click the 'Submit the Request" button.  

If you are an US Citizen, please use the US Citizen Admission Information Request Form instead of this form.

First Name (Given Name):
Middle Name:
Last Name (Surname):
Birthdate: (MM/DD/YYYY)
Mailing Address:
Phone Number:
E-mail Address:
Educational Level:

When do you plan to attend?


Do you have any questions or comments?


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University of South Alabama - Mobile, Alabama 36688-0002 (251) 460-6101
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Date last changed: Tuesday, August 13, 2013 10:45 AM
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