The University of Houston-Victoria
Arts and Sciences
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First Name:
Last Name:
Mailing Address:
State: ZIP: 
Phone Number: (eg. 361-570-4848)

I would like to request information about the following program(s):
 **Check all that apply**


Applied Arts and Sciences (B.A.A.S.)
Biology (B.S.)
Communication (B.A. or B.S.)
Computer Science - Computer Science
Computer Science - Digital Gaming & Simulation
Computer Science - Information Systems
Criminal Justice (B.S.)
Humanities - English (B.A.)
Humanities - History (B.A.)
Mathematical Sciences (B.A. or B.S.)
Psychology (B.A. or B.S.)


Interdisciplinary Studies (M.A.)
Counseling Psychology - LPC (M.A.)
Forensic Psychology - LPC (M.A.)
School Psychology - LSSP (M.A.)
Computer Information Systems (M.S.)
Publishing (M.S.)

How did you learn about our program? (Mark all that apply)

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Open House at...  
Transfer Fair
Email from UHV
Letter or Postcard from UHV
Word of Mouth
Other (Please Specify)