UG - Inquiry Form

Ready to get to know us a little better? Complete our undergraduate request for information, and a Chatham admissions counselor will connect with you in the coming days to give you more information and answer any questions you may have.

Personal and Contact information

First Name

Last Name

Email Address

Mobile Phone Number

Birthdate

To help us understand how best to serve prospective students, please select your preferred ways of communicating during your college search.

Email

Text

Phone

Other

If other, please explain

Intended Academics

Student Type

Please select your Program of Interest

Do you hold an Occupational Therapy Assistant license?

Please select your Intended Start Term

Please select your Minor of Interest

Pre Professional interest?

If other, please provide more information so we can better assist you.

What month do you plan to start?

Are you interested in an Integrated Graduate Degree Program (3+2)?

Please select your Integrated Graduate Degree Program (3+2) of interest

Education information

Current or Most Recent School Attended

CEEB Code

Address information

Street Address

Country

Street

City

Region

Postal Code

UG - Inquiry Form

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