Personal Information

EMU ID Number (If known)

Date of Birth

Gender

Select Preferred Start Date

** Preferred start date may be subject to availability.

First Name

Middle Name

Last Name

Previous Last Name

Cell Phone

Street Address

City

State

Postal Code/ Zip

Home Phone

Country of Citizenship

United StatesOther

State of Legal Residence

MichiganOhioOther

Number of years as a state resident

Number of months

Country of Citzenship

Current Visa Type

Please note, F1 and J1 visa holders are not eligible for this program

Tell Us What Colleges You Have Previously Attended?

Please list each college or university you have previously attended, beginning with the most recent. You must submit official transcripts from all colleges or universities you have attended.

Failure to report all institutions attended may invalidate your application and may result in dismissal from the university if you are admitted.

Select a College(s) Below

College Previously Attended

Previous Degree Completed

DoctoralMastersBachelors

To select multiple colleges hold the CTRL Key while clicking on selected colleges

Ethnic Background (Optional)

The information on this application is truthful to the best of my knowledge

E-Signature (First and Last Name):

Date:

Application Fee

Total $

Discount Code

By clicking the submit button, I agree, via my digital signature, that Eastern Michigan University (EMU) may email me or contact me regarding educational services by telephone and/or text message utilizing automated technology at the telephone number(s) provided above.

After submission you will be redirected to TouchNet, our payment processing system. TouchNet accepts Visa, Mastercard and Discover

Application Number

Contact Information

Black or African American	American Indian or Alaska Native
Asian	White
Native Hawaiian or Pacific Islander