Early Assurance Interest FormSubmit this form to let us know you're interested in the Early Assurance program; we'll be in touch! As a reminder, our Early Assurance program is only offered on these University of Minnesota system campuses: Crookston, Duluth, Morris, and Rochester. If you are not located on one of these campuses, but are interested in our program, we would love to meet with you individually!First NameMiddle NameLast NameEmail AddressBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Undergraduate InstitutionSubmit