Prospective Undergraduate Students

First Name

Last Name

Birthdate

Email Address

Phone Number (where you can be reached during the day)

Please select your intended major:

Neuroscience (NSCI)

Neuroscience & Cognitive Science (NSCS)

Will you be an honor student at the University of Arizona?

Yes

No

Name of the high school you are currently attending:

Is your High School located in Arizona?

Yes

No

If not in Arizona, what city and state is your high school located?:

Are you a junior or a senior?

Junior

Senior

Entering College As

Entry Term

Please share a date and time you are available to meet (Monday-Friday, excluding holidays),

e.g., Monday, July 21 between 10-12 AM.

Special requests (optional):

Parent Signature

Parent or Legal Guardian Attestation
I am the parent or legal guardian of the student named above. I consent to providing this information and confirm that I am the person submitting this form.

Click to Sign...

Apply

Welcome

Prospective Undergraduate Students - Visit Request