Student Request

The results of this form are only to the undergraduate academic adviser and the webmaster. All information is strictly confidential. The College of Optical Sciences will only use this information to provide initial information about the college. Any further dialogue or contact will be done on a personal basis with the academic adviser.

* Required

Name * Please provide your full name

Email *

Address

Cell Phone

Birthday (mm-dd-yyyy)

Gender

Male
Female

Expected College Entrance

Current School (High School/College) If outside of Tucson, please provide the city and state

Current Class Year

GPA

Interests We just to like to know a little about incoming students, primarily to connect with the students and also to see if there is a current student that we can set up a mentor with

Other If you were unable to complete one of the above fields or if there is any other information you would like to provide, please use this field