TEXAS A&M UNIVERSITY-TEXARKANA

Enrollment Management Office
2600 N. Robison Rd.
Texarkana, TX 75505-5518
(903) 223-1353
www.tamut.edu/recruitment

Contact Information

	Last Name:
	First Name:
	Address:
	City:
	State:
	Zip Code:
	Home Phone Number:
	Cell Phone Number:
	Email Address:
	Gender:	-- Select --- Male Female
	Major:
	Current College or University:
	Where do you plan to attend the     transfer day event:	On Campus (Dec 3)    NTCC (Dec 1)
	Time you will attend:	11am-1pm    4pm-6pm

State law requires that you be informed of the following: (1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law); (2) you are entitled to receive and review that information; and (3) you are entitled to have the information corrected at no charge to you. For more information see our Privacy Statement.