Information Request Form

Please fill out the form below to receive more information about St. Matthew's University.

If you have questions, please don't hesitate to contact our office: 1.800.498.9700
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How did you hear about us?*	Choose a Referral Type Here AAVMC Advertisement AMCAS Conference Director of Admissions Email Email Facebook Family Member Friend Graduation Fair Health Profession Advisor Internet Letter M and D Europe Med Conference Medical Professional Medical School Poster Online Forum Other Medical School Other Veterinary School Postcard Preview Event Search Engine SMU Applicant SMU Faculty SMU Graduate SMU Student Teacher Test Preparation Vendors Twitter Vet Conference Veterinary School Poster Vet Speaker VMCAS Webinar
What information are you requesting?*	School of Medicine School of Veterinary Medicine
Which Term Are You Interested in Attending? (Required)	Summer 2014 Fall 2014 Spring 2015 Summer 2015 Fall 2015 Spring 2016 Summer 2016 Fall 2016 Spring 2017 Summer 2017 Fall 2017
Title	Mr.Mrs.Ms.Dr.
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Date of Birth (YYYY-MM-DD) *
What is your Current Status*	Select a Status College GraduateCollege StudentGraduate ProgramHigh school StudentMedical ProfessionalProfessionalVeterinary Professional
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Please note: Information on sex, age, ethnic origin, and citizenship status is collected for compliance reports in connection with the federal regulation pursuant to the Civil Rights Act of 1964, Executive Order 11375 and title IX of the Education Amendments of 1972 and Part. 86, 45 C.F.R., and will not be used to discriminate in admission to or participation in any of the educational programs or activities offered by St. Matthew's University School of Medicine.