utd comet connection form - UT Dallas Comet Connection...

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UT Dallas Comet Connection Program Collin College and The University of Texas at Dallas Pre-Admission Form *Social Security Number_____________________________ Date of Birth________________________ (Month/Day/Year) Full Legal Name_______________________________________________________________________ (First, M, Last) Mailing Address_______________________________________________________________________ City__________________________State_______Zip___________ Country of Citizenship____________ Phone Number (Home)____________________________(Cell)_________________________________ E-Mail Address_________________________________________________________________ The Guaranteed Tuition Program rate will be determined by the date Admission & Enrollment Services receives this Comet Connection form. You can view the deadlines for the tuition rates in the Comet Connection brochure or online at www.utdallas.edu/connect . Semester and year you expect to enter UTD: (Please Circle One) Fall Spring Summer Year____________ Your expected major:_________________________________________________________________ Upon completion of the AA/AS/AAT degree or completion of studies at C ollin , students who meet The University of Texas at Dallas admission requirements will receive automatic admission to UT Dallas. Students may apply for pre-admission status once they complete 12 hours at their community college by sending this form to the UT Dallas Office of Admission and Enrollment Services.
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