University of Phoenix

Enter your Zip or Postal code to view programs in your area

Area of Interest

Please select your highest level of education

Are you interested in online or campus-based learning?

Campus Online

Are you associated with the United States Military? (optional)

Program of Interest

Salutation

First Name

Last Name

Home Address

Apt / Unit

City

State / Province

E-mail

Work Phone*

Home Phone*

Mobile Phone*

* Only one phone number is required.

Preferred Phone

In order to assist you with your financial options, please indicate if you are a US citizen.

Yes No

Were any college credits earned at institutions outside of the US?

Yes No

I acknowledge that by providing my telephone number and submitting this form, I may be contacted by telephone and email.

Yes No