University of Michigan-Flint
Application for Undergraduate Admission
Apply online for free at
Applying as: m Freshman m Transfer m Non-Degree
Anticipated date of enrollment (Enter year)
m September-Fall 20______ m January-Winter 20______ m May-Spring 20______ m July-Summer 20______
Academic Interest/Major (see list below): m Undecided
Last updated: 11-25-14
Last Name (Legal) First Name (Legal) Sux Middle (Full)
Previous last name(s), if any Birth date (mm/dd/yy) Social Security Number Gender
m Female m Male
Current Mailing Address (Number and Street) City State Zip Code
Permanent Mailing Address (if dierent) City State Zip Code
Mobile Phone Home Phone Email Address
( ) - ( ) -
Citizenship Native Language
m U.S. Citizen m Permanent Resident/Green Card m Noncitizen Country
Race/Ethnicity: Information is collected for state and federal reporting requirements, as well as for statistical purposes.
It is not used in the admission process and will have no bearing on your admission status.
Please indicate whether you consider yourself to be Hispanic or Latino.
m No, not Hispanic or Latino m Yes, Hispanic or Latino
In addition, select one or more of the following racial categories to describe yourself:
m American Indian or Alaska Native m Asian m Black or African American m Native Hawaiian or Other Pacic Islander m White
Are you a veteran? Are you serving or have you served in the U.S. Military (including National Guard and Reserve Components)?
m Yes m No
Are you eligible for veteran educational benets?
m Yes m No Are you the spouse/dependent of a veteran? m Yes m No
Actuarial Mathematics
Africana Studies
Applied Science
Art - Studio
Art History & Criticism
Biology - General
Biology - Human Biology
Biology - Molecular & Biotechnology
Biology - Wildlife Biology
Business - Accounting
Business - Finance
Business - General
Business - International Business
Business - Management
Business - Marketing
Business - Organizational Behavior
& Human Resources
Computer Information Systems
Computer Science
Criminal Justice
Education (Elementary)
Education (Secondary) - Art Education
Education (Secondary) - English
Education (Secondary) - French
Education (Secondary) - History
Education (Secondary) - Integrated Science
Education (Secondary) - Mathematics
Education (Secondary) - Music Education
Education (Secondary) - Social Studies
Education (Secondary) - Spanish
Education (Secondary) - Speech
Energy and Sustainable Systems
Engineering - General
Engineering - Mechanical
English - Linguistics Specialization
English - Literature Specialization
English - Writing Specialization
Environmental Science & Planning
French & International Studies
French & Linguistics
Health Care Administration
Health Sciences
Interdisciplinary Studies
Medical Technology /
Clinical Laboratory Science
Music - General
Music - Performance
Nursing (Pre)
Nursing (RN to BSN)
Philosophy - General
Philosophy of Neuroethics
Political Science
Pre-Physical Therapy
Pre-Physician Assistant
Psychology - Applied Psychology
Psychology - General
Psychology - Research Psychology
Public Administration
Public Health
Radiation Therapy (Pre)
Social Sciences, Joint Programs
Social Work (Pre)
Spanish & International Studies
Spanish & Linguistics
Theatre Design & Technology
Theatre Performance
Visual Communication
Other: _____________________________
Note: Majors as listed in the 2014-15 Catalog. Please see the website for the most up-to-date information or for majors available in previous Catalogs.
Have you ever been expelled, suspended, or placed on probation by any secondary school or college
you attended for academic dishonesty or because of an oense that harmed or had the potential to harm others? m Yes m No
Have you ever been convicted of a criminal oense other than a minor trac violation, or been found
to be delinquent by a juvenile court, or are there such charges currently pending against you at this time? m Yes m No
If you answered yes to either of the questions above, you must include a separate, detailed statement of explanation.
A $30 nonrefundable fee is due with your Freshman or Transfer paper application. Checks may be made payable to the University of Michigan-Flint.
For international applicants that are unable to send a check, please send an International Postal Money Order, in U.S. dollars, which is commonly obtained at your local post oce.
I certify that all the information given in this application is true and complete, including a report of all college work attempted or completed. I understand that the University of Michigan may
verify any information I have provided. Falsication or omission of information and credentials may result in the withdrawal of my application or in the revocation of admission, nancial
award, or registration. I understand all credentials and documents I present become the property of the University of Michigan.
I authorize the Regents of the University of Michigan, on behalf of the University of Michigan-Flint, to secure high school academic transcripts and ACT/SAT scores on my behalf (freshman
applicants only). I authorize the release of my contact information, on le with the university to alumni clubs that may consider me for scholarships.
Signature (required) Date
Oce of Admissions • 303 E. Kearsley St. • 245 University Pavilion • Flint, MI 48502-1950 • (810) 762-3300 • Fax: (810) 762-3272 • um • admissions@um
Are you a Michigan resident? m Yes, since (month/year): m No
If you have lived outside the state of Michigan in the last three years, please list the most recent state (or nation if outside the US) and approximate dates you lived there.
If any of the following circumstances listed below apply, you are required to le an Application for In-State Tuition if you wish to be considered for in-state tuition assessment.
You live outside the State of Michigan for any purpose.
• You attended or graduated from a college outside the State of Michigan.
• You lived or worked outside the State of Michigan at any time within the last three years.
• You are not a U.S. citizen.
• Your spouse, partner, or parent is in Michigan as a nonresident student, medical resident, fellow or for military assignment or other temporary employment.
• You are 24 years of age or younger and a parent lives outside the State of Michigan.
• You are 24 years of age or younger and attended or graduated from a high school outside the state of Michigan.
• You attended or graduated from an out -of -state high school and have been involved in educational pursuits for the majority of time since high school graduation.
• You attended any University of Michigan campus (Ann Arbor, Dearborn, or Flint) as a nonresident.
Questions pertaining to your residency status can be answered by sta in the Residency Classication Oce, University of Michigan Oce of the Registrar, 1210 LSA Building, 500 South
State Street, Ann Arbor, MI 48109-1382, phone (734) 764-1400. To apply for in-state tuition classication visit
List the most recent high school and ALL colleges and universities you have attended. Ocial copies of transcripts must be mailed directly to the Oce of Admissions from
all institutions attended. Failure to acknowledge attendance at another institution may result in immediate dismissal. List any additional institutions on a separate page.
High School/College/University City, State Attended from Attended to Type of Degree Earned/
(mm/yy) (mm/yy) Graduation Date For oce use only
Include on a separate sheet(s) any special information (personal essay, letters of recommendation)
you would like the Oce of Admissions to consider. This is not necessary for admission, but important for scholarship consideration.