Would you like more information about UTPB, Student Housing, Music Program, Humanities Degree, Financial Aid, Scholarships, Majors and Minors, or Course Registration?
1. What is your name?
3. Have you applied for financial at UTPB? Yes No
4. What is your current mailing address? address
6. Have you applied to become a UTPB student? Yes No
7. What instrument(s) or voice are you?
8. When do you plan to enter UTPB as a full-time or part-time student? (i.e.: Fall 2005)
9. What information would you like and how would you like us to respond (phone, email, mailing, FAX)? Requesting: Contact:
10. How did you hear about UTPB?