Admission

Info Request

Please complete the following form to receive printed advertisement materials including our catalog and application form by regular mail. Items marked with a red star are required and the request cannot be processed if missing. Please allow 1-3 weeks to receive the materials depending on your location.

You may also download University's Catalog, Forms and Promotional Materials available in PDF format from the Resource Center of our website.

 Personal Information
Last Name: *
First Name: *
Middle Name:  
Phone Number: *
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Cell Number:  
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Email: *
I want to sign up for AGU Newsletter to be sent to my email address.
 Mailing Address
Street Address: *
Apt. #:  
City: *
    
State: *
    
Zip Code: *
    
Country: *
 Other Information
Those information will allow us to send you the materials that apply to your situation.
Academic Category: *
Source of Financing: *
Have you been a medical student? *
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 Help us reach more students and improve the standards
1. Select your preferences in choosing a Medical School?* (select all that apply)

 School's Facilities  Clinical Rotations  Low Tuition Fees  Curriculum
 USMLE Passing Rate  Financial Aid  School's Reputation  Other
2. How did you first hear about American Global University?* (check only one)
 Online Ad  Search Engine  Poster  TV Ad
 Newspaper  Radio  Friend  Other

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