EXCL 301 Application

Note: You must be accepted as a UMUC student before taking the EXCL 301 course.

Please complete Section I of the EXCL 301 application.

Once you submit this application, you will be billed for a $30 fee that you can pay through MyUMUC.

Section I: Application Information

Title:

First Name:

Middle Initial:

Last Name:

UMUC EmplID Number:

This number is shown on your MyUMUC portal after login.

Address:

City:

State:

ZIP Code:

Country:

Day Phone:

Evening Phone:

Fax:

E-mail:

Academic Advisor Name:

Date of Official Evaluation:

Semester you are applying for:

In which session and year do you plan to register for EXCL 301?:

Are you currently a student at UMUC?:

Yes

Will this be your final semester at UMUC?:

Yes

General Information

Students

Faculty

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