Refer your child to UAB

Student's First Name
Please let us know your first name.

Student's Last Name
Please let us know your last name.

Street Address
Invalid Input

Apt/Unit
Invalid Input

City
Invalid Input

State
Invalid Input

Zip Code
Invalid Input

Student's Email
Please supply the prospective student's email address.

Phone number
Invalid Input

Date of Birth
// Invalid Input

High School
Invalid Input

High School Graduation Year
Invalid Input

Comments

(required)
Invalid Input

UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of race, national origin, age, genetic or family medical history, gender, faith, gender identity and expression as well as sexual orientation. UAB also encourages applications from individuals with disabilities and veterans.

Back to Top