UH Extend Business Inquiry Form

* Indicates a Required Field

PERSONAL INFORMATION

First Name*

Last Name*

Date of Birth*

Email Address*

Phone Number*

Please select country where you reside*

(Must select a State if you live in USA)

State

PROGRAM INFORMATION

Major of Interest*

Do you know about when you will start Bauer Program?

Yes

No

Anticipated Start Term*

Graduation Year

Are you a Veteran or Active Service Member

Yes

No

Student Type*

Freshman

Transfer

Returning (Former UH Student)

How did you hear about our program?

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