Request for Program Information

Thank you for your interest in the Department of Public Policy at the University of Connecticut. We are excited that you are considering furthering your education with us!

First Name * required
Middle Initial
Last Name*
Home Address *

City *
State *		(USA only)
		(Other countries)
Country *
Zip/Postal Code*		(Required for USA)
E-Mail Address *
Best Phone to reach you at		(e.g., 860-555-5678)
Undergraduate University
Undergraduate Major
Undergraduate GPA
Undergraduate degree conferral date (or expected graduation date)
Post Graduate Education Information (Please tell us if you have completed any course work after your undergraduate degree. If so, where and in what field?)

How did you hear about us? *
GRE Scores:
	Verbal	Quantitative	Analytical
Program area of interest (Please check all that apply) *
Master of Public Administration Program Master of Arts in Survery Research Program Graduate Certificate in Public Financial Management Graduate Certificate in Public & Nonprofit Management
Comments, specific requests or questions?


Check here if you would like to receive electronic updates and news items from the Department of Public Policy.