Univ of Southern Mississippi

Request Information

* = Required Field

We are delighted that you are interested in attending The University of Southern Mississippi! To receive more information about becoming a Golden Eagle, complete the form below. Your form submission will be sent to the appropriate admitting unit on our campus, and you will hear from us soon.

Please Note: Each prospective student should supply an individual email address.

Southern Miss....To The Top!
Your Information
- * First Name
  Please list your legal name
- * Last Name
- * Email
  Please enter the prospective student's personal email address.
- Phone
  (xxx)xxx-xxxx
- * I am a future....
- * Anticipated Campus
- * Anticipated Start Term
- Inquiry Card
Program of Study
- I am interested in studying (1st choice)
- I am also interested in studying (2nd choice)
- Undergraduate
Graduate Program of Study
- I am interested in pursuing a degree in...
- and, or a degree in..
- Graduate
Online Program of Interest
- * I am interested in studying...
- And, I am also interested in studying
Additional Information
- * Preferred Name
- * Date of Birth
  [mm/dd/yyyy]
- Street Address
- Apt. or Unit #
- * City
- State
- Zip Code
- * County/Parish
- Did your parent or grandparent graduate from Southern Miss?”
Additional Information for International Students
- * Citizenship Type
- Country of Citizenship
- Any Questions?
High School Education History Remove Entry
- Please list the High School you are currently enrolled. Start typing the name of the school you attend. If your school does not appear in the list of potential matches, please select "School Not Found" AND add your school details in the box designated. If unsure of your actual graduation date, please provide an approximate date.
- * High School Name
- Graduation Date
  [mm/dd/yyyy]
- If your school name does not appear on the drop down list, please enter it here.
- Education Type
Add Another Response
Most Recent College or University Remove Entry
- Please list all post-secondary schools you have attended since graduating from high school. Click the 'add another response' button below the lower right corner of this box to list more than one school. If unsure of the actual day of the month you attended or graduated, please provide an approximate date.
- * Current or Most Recent College
  Start typing the name of your school. If your school does not appear in the list of potential matches, please select 'School Not Found' AND add your school details in the field below.
- Current Enrollment Status
- If your school name does not appear on the drop down list, please enter it here.
- Is this your most recently attended school?
- Was a degree awarded?
- If yes, please list date degree was received
  [mm/dd/yyyy]
- Start Date
  [mm/dd/yyyy]
- To Date
  [mm/dd/yyyy]
- Education Type
Add Another Response
UG_IN_Hidden Fields
- Acad_Career

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2016	2017	2018