Site search is powered by Google

Printed Material Request

Please fill out the information below to have program information sent to you.

The name, address, phone, e-mail, and program interests fields are critical in this regard. However, inclusion of other material will allow us to serve you more effectively. Please note that the information being transmitted is not encrypted, and if you believe some of this data to be sensitive, then you should feel free not to include it.

Identification Data

Name:
E-mail:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Fax:
Best time to call:

 
Program Interests

Undergraduate degree programs:
Clinical Laboratory Sciences
      (medical technology, cytotechnology, biomedical sciences, public health microbiology, and radiologic technology)
Communication Sciences and Disorders
      (school and health care tracks)
Health Care Administration
Kinesiology
      (athletic training, exercise and fitness, health and fitness management, kinesiology, and pre-physical therapy)
Occupational Therapy

Graduate degree programs:
Clinical Laboratory Sciences
Communication Sciences and Disorders
Health Care Informatics
Kinesiology
Occupational Therapy

Doctoral degree programs:
Health Sciences

Certificate programs:
Death Investigation
Forensic Science
Forensic Toxicology
Molecular Diagnostics
Nutrition
Older Adult Fitness
Strength and Conditioning
Study of Complementary and Alternative Medicine
Therapeutic Recreation

Will be:
New Freshman
Transfer
Re-entering
Second Degree
Masters/PhD
Non-Degree Grad
Undergraduate Special Student

Miscellaneous

How did you find out about our programs? Please check all that apply.
A high school/career counselor told me
Advertisement/ Flyer
Student/Alumni
A friend told me
UWM Faculty/Staff
UWM/CHS Web Page
Other

How did you find our Web page?
Internet Search
UWM's Homepage
UWM Viewbook
UWM Bulletin
Poster
Brochure
A friend told me
Other

Have you received a Baccalaureate degree? Yes No

If so, in what area?

Specific questions or comments: