Request Info/Create Account

Contact Information

Please submit this form to receive information about Prairie View A&M University and allow us to connect with you. The contact information entered will be associated with the student's application. All others request information or assistance should use this link: https://www.pvamu.edu/request-information/

First Name

Last Name

Email Address

Confirm Email Address

Birth Date

Mobile Phone

Do Not Send Text Messages

Are you an international student?YesNo

Ethnicity?

Check if address is outside of U.S. or Canada

Address

City

State/Province

ZIP/Postal Code

Country

Entry Term

When will you plan to attend Prairie View A&M? (Fall terms begin in August, Spring terms begin in January)

Academic Level

Student Type

Academic Program

Account Information

Your password must contain a minimum length of 8 characters and include at least 1 symbol, i.e. #, %, ! Please remember your password answer! Only 5 attempts are allowed before you are locked out.

Password (Minimum of 8 characters and 1 non-alphanumeric value.)

Confirm Password