Request For Information Form

Thank you for your interest in the University of Houston-Victoria (UHV). UHV offers accredited, affordable and accessible programs designed to meet your needs.

To process your request for information please complete the form below.

The information provided will be kept confidential and used only to send information to you.

Student Info

First Name

Middle Name (optional)

Last Name

Birthdate

International Student

Yes

No

Citizenship Country

Visa Permit Type

Contact Info

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Primary Phone Number

May we text you important information? (optional)

Terms: By providing your number, you consent to receive notifications from the University of Houston-Victoria. Reply STOP to unsubscribe. Msg & Data rates may apply.

Yes

No

How did you hear about us?

Academic Info

Most Recent School Attended

I am a prospective

What program are you interested in?

When do you plan to start classes?

Graduation Year (optional)

Parent Info

Would you like to provide your parent's info?

Yes

No

Parent First Name

Parent Last Name

Parent E-mail Address

Parent Phone Number

Click here to view the University of Houston - Victoria Privacy Policy.

Request For Information Form

Thank you for your interest in the University of Houston-Victoria (UHV). UHV offers accredited, affordable and accessible programs designed to meet your needs. To process your request for information please complete the form below.

The information provided will be kept confidential and used only to send information to you.

Thank you for your interest in the University of Houston-Victoria (UHV). UHV offers accredited, affordable and accessible programs designed to meet your needs.

To process your request for information please complete the form below.