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UAFS Engineering Request for Information

First Name (Nombre)*

Preferred Name (Nombre Preferido)

Last Name (Apellido)*

Email Address (Correo Electrónico)*

Mobile Phone (Número de Teléfono Móvil)*

Would you like to receive texts about UAFS?*

Yes

Birthdate (Fecha de Nacimiento)*

Anticipated Entry Term (Término de Entrada Anticipado)*

Questions? (¿Preguntas?)

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UAFS Engineering Request for Information