Request for Information

We are excited that you are interested in attending The University of Southern Mississippi! To receive more information about becoming a Golden Eagle, complete the form below.

Prospective Student Information

First Name*

Last Name*

Preferred First Name*

Cell Phone Number*

I give permission to The University of Southern Mississippi to send me important updates via text message. (Standard message charges apply.)*

Email Address*
Due to possible email deliverability issues, please provide a personal email address and not an email address that is affiliated with your school.

Birthdate*

Did your parents/grandparents graduate from Southern Miss?

Are you either an active-duty member or a veteran in the US military?

Anticipated Campus*

Anticipated Program of Study Information

Anticipated Type of Student*

Anticipated Start Term*

Anticipated Hattiesburg Major*

Anticipated Online Major*

Anticipated Gulf Park Major*

Mailing Address

Mailing Address*

Country

Street

City

Region

Postal Code

Education History

Most Recently Attended School

Anticipated High School Graduation Year

ACT Score

SAT Score

Parent Information

Parent First Name

Parent Last Name

Parent Email

How is this parent related to the student?

Additional Information for International Students

Country of Citizenship