Comeback Cards Grant Interest Form

Legal First Name

Preferred First Name

Legal Last Name

Other Last Name(s) Used

Personal Email Address

Date of Birth

Mobile Phone Number

Do you give permission for us to send text messages to your mobile number?

Yes

No

What do you intend to major in at the University of Louisville when you return?

Admit Type (REA - Hidden)

First-Time Freshman

Graduate Student

Returning UofL Undergraduate Student

Transfer Student

Do you intend to enroll full-time or part-time?

Have you experienced a gap of two or more years in your education at UofL?

Yes

No

Are you pursuing your first undergraduate degree?

Yes

No