Request Information

Welcome to the Colorado School of Mines Undergraduate Inquiry Form. Please fill in the appropriate blanks that apply to you and we will be glad to add you to our mailing list. Please make sure that you fill out each field completely and accurately. If you are currently receiving mail from CSM or have filled out this form before and you have additional questions, please feel free to contact admit@mines.edu. Thank you for your interest in Colorado School of Mines.

*Indicates a required field.

*First Name
Middle Name
*Last Name
Suffix (Jr, Sr, etc.)
*Gender
*Date of Birth	(mm/dd/yyyy)
Ethnicity	(optional)
*When do you plan to enroll at CSM?
*Current Academic Level
*Prospective Entry Level
First Academic Interest / Major
Second Academic Interest / Major
*E-Mail Address

* Street Line 1
Street Line 2

For US or Canadian addresses, enter:

* City
* State/Province	Select a US State or Canadian Province from this list
* Zip/Postal Code	Only the first 5 digits are required for US addresses
*Country
Phone Number	- -
Phone Number Preference	Enter a 1 here if this is your preferred phone number for all telephone contacts

For international addresses, enter all fields that are required for mail delivery in your country:

*City
Region	Enter the province or state, territory, county, etc.
*Postal Code	Use parentheses, dashes, or spaces as required
*Country	Select the Country from this list
Phone Number	011 Use parentheses, dashes, periods, or spaces as required
Phone Number Preference	Enter a 1 here if this is your preferred phone number for all telephone contacts

Click the Submit button only once.

Course Catalog is available on-line at http://www.mines.edu/publications/
Graduate School Information is available at http://www.mines.edu/Admiss/grad/