Prospect Information Form

Please enter the requested information. If you have additional questions, please e-mail us at enroll@utoledo.edu or call the office at 1.800.5TOLEDO.

- indicates a required field.

Please type in your name using a mixture of upper and lower case letters. You may leave the Suffix field blank, but if a suffix is part of your legal name, enter one of the following valid suffixes: I, II, III, IV, V, VI, VII, Jr, Sr.

Prospect Name
Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Nickname:

Please provide your complete mailing address. Always include applicable apartment number on same line as (and after) street address (preferred), or on the line above the street address if it does not fit. Enter your phone number in the following format: Box 1=area code; Box 2=7-digit phone number; Box 3=extension (if applicable).

Primary Address
Valid From:	Month Day Year (YYYY)
Until:	Month Day Year (YYYY)
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number:	- (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Please indicate your date of birth.

Prospect Birthdate
Date of Birth:	Month Day Year (YYYY)

Please indicate the semester in which you intend to enter the University.

Prospect Entry Term
Term of Entry:

Please provide your primary, personal e-mail address.

E-Mail Address
E-mail Address:
Verify E-mail Address:

Please select your intended major or field of study from the pull-down menu.

Prospect Major
Major:

Please indicate the high school from which you will or have graduate(d). If you are not sure of the day of your graduation, use the first day of the appropriate month. (Example: June 01 2008) Click on Look Up High School Code to locate your school. This will automatically fill in the address information. If you do not find your high school in the drop-down list, enter as much information as you can in the fields provided. If you did not graduate from high school but passed your GED, please enter code 960000 as your high school code and use your GED date as your graduation date. Enter the GPA on a 4.0 scale.

Prospect High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date:	Month Day Year (YYYY)
Class Rank and Size:	/ (must be numeric)
GPA:	(example: 9.99, or A+)

To select more than one Prospect Interest, hold down the control key (Ctrl) as you click.

Prospect Interests
Interests:

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University of Toledo

Prospect Information Form

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