Open House

Student Information:

First Name

Last Name

Email Address

Mobile Phone

Providing your mobile phone number will opt you into receiving periodic text messages from us. Message and data rates may apply.

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Applying as

Anticipated Start Year

Academic Interest

Current/Last School Attended

Do you have any relatives that have graduated from UMass Dartmouth?

Yes

No

UMass Dartmouth Graduate: Father's Full Name

UMass Dartmouth Graduate: Mother's Full Name

UMass Dartmouth Graduate: Legal Guardian's Full Name

UMass Dartmouth Graduate: Step Father's Full Name

UMass Dartmouth Graduate: Step Mother's Full Name

UMass Dartmouth Graduate: Sibling's Full Name

UMass Dartmouth Graduate: Grandparent's Full Name

Would you like to provide parent information?

Yes

No

Parent First Name

Parent Last Name

Parent Email Address

Parent Mobile Phone

Number of Guests (Additional students attending should register separately.)

Please list any accommodations you may need during your visit experience.