DirectConnect to UCF Information Request Form
* Required Field

*Address:

*City:

*State: 

*Zip Code:

*Email:

*Day Time Phone:
Please use ten digit format (##########)

Cell Phone:
Please use ten digit format (##########)

*Date of Birth:
MM/DD/YYYY

Are you a U.S. citizen?
YesNo

Date of high school graduation?
YYYY

Community College Student?
YesNo

Community College attending:
Select a College Brevard Community College Lake-Sumter Community College Seminole Community College Valencia Community College

*Anticipated Degree:

Approximate Number of College Credits Earned:

*UCF Preferred Campus Site:
Select A Campus Cocoa Daytona Beach Leesburg Ocala Orlando Palm Bay Sanford/Lake Mary South Lake Valencia Osceola Valencia West

*Anticipated Major:
Select A Major

*Expected UCF Entry Semester:
Select A Semester Spring 2010 Summer 2010 Fall 2010 Spring 2011 Summer 2011 Fall 2011 Spring 2012 Summer 2012 Fall 2012 Spring 2013 Summer 2013 Fall 2013 Spring 2014 Summer 2014 Fall 2014