Date of Birth
Required
Month
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
Social Security Number
UCF SSN Policy
Required
If you do not have a SSN, please enter 999-99-9999.
Contact Information
Required
Florida County
Please Select
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
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Clay
Cobb
Collier
Columbia
Dade
Desoto
Dixie
Duval
Escambia
Flagler
Franklin
Fulton
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
Santa Rosa
Sarasota
Seminole
St. Johns
St. Lucie
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
Semester Originally Applied For
Required
Please Select
Summer 2018
Fall 2018
Spring 2019
Summer 2019
Fall 2019
Anticipated Entry Semester
Required
Please Select
Summer 2019
Fall 2019
You are enrolling as:
Required
Please Select
Dual Enrollment
Early Admission
Non-Degree
Second Bachelor's Degree
Transient
Undergraduate Freshman
Undergraduate Transfer
Expected academic level at time of enrollment:
Required
Please Select
Freshman
Sophomore
Junior
Senior
Sec Deg
Non Deg
DE/EA
Academic Information
Required