Testttt | University of Cincinnati

First Class Back

Name*
First Name Last Name
Maiden Name (If Applicable)
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
What was the last year that you attended UC?
How did you hear about this program?
Student M Number:
What was your previous major/program when you last attended UC?
What is your intended online major/program for when you return?*