Please send me more information about
P R A I R I E V I E W A &M U N I VE R S I T Y
Today’s Date ___ / ___ / ______
Birth Date ___ / ___ / ______
Name_______________________________________________________________
Last
First
Middle
Mailing Address________________________________________________________
__________________________________________________________________________________________
City
State
Zip Code
E-Mail Address ________________________________________________________
Telephone Number (_____) _____-______
Cellular Number (_____) _____-______
Current High School or College Name ________________________________________
Your High School Graduation Year: 20 ___
Intended College Major __________________________________________________
How Interested are you in PVAMU?
Very Interested
Moderately Interested
Have you applied to PVAMU?
Yes
Slightly Interested
No
imagine yourself here
A Member of The Texas A&M University System
www.pvamu.edu | (936) 261-1081
To Request More Information
P R A I R I E V I E W A &M U N I VE R S I T Y
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Go to www.pvamu.edu/recruitment
Click on Request Information
Select Prospective Student
Select the appropriate classification
Complete the Prospect Information Form
and submit
Read the acknowledgment letter for
submission confirmation