Please complete the following information so we can direct your request to the appropriate people. When you have finished, click the Submit Request button at the bottom.

Note: Click here if you forgot your password or user name or need to contact the help desk.

	I have a question about:	<Select an option> Undergraduate AdmissionsGraduate AdmissionsContinuing EducationAthleticsBusiness PartnershipsHousingHuman ResourcesUMBC General InformationOther
... OR ...
	I have a suggestion about:	<Select an option> UMBCThis SiteOther

---

Contact Information (required)

Please give us your name and an e-mail address and/or phone number where you can be contacted.

I am a(n):	<Select an option> Undergraduate StudentGraduate StudentStaff MemberFaculty MemberAlumniContinuing Education StudentParent of Current StudentProspective Undergraduate StudentProspective Graduate StudentParent of Prospective StudentCorporate/Industry PartnerGovernment AgencyAcademic Partner
Name:
E-mail:
Phone:

---

Address Information (optional)

If you would like us to send you any of our University publications, please complete the following information.

Street:
City:		State:		ZIP:
Country:

---

Question/Suggestions (required)

---