Request for Information

Thank you for your interest in the Transition and Access Pathways program at the University of Cincinnati! Completing the following information will permit us to provide you with campus and academic information and event invitations. The more information you provide us, the better we can communicate with you.

* Required Fields. These fields are used to create and maintain unique student records and prevent duplicate accounts.

Student Information

Student First Name*

Student Middle Name

Student Last Name*

Student's Preferred First Name

Student's Date of Birth*

Student Email Address*

Confirm Student Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Parent Information

Parent 1 First Name

Parent 1 Last Name

Parent 1 Relationship to Student

Parent 1 Email Address

Parent 2 First Name

Parent 2 Last Name

Parent 2 Relationship to Student

Parent 2 Email Address

Phone Numbers

Home Phone Number

Mobile Phone Number

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I consent to receiving informational text messages from the University of Cincinnati.

Educational Information

Have you graduated from high school (or earned equivalent) AND enrolled at a college/university after graduation?*

Current/Most Recent College or University*

School CEEB

High School Graduation Year*

Entry Term*

Current/Most Recent High School*

School CEEB

High School Graduation Year*

Entry Term*

Request for Information - TAP