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IMC Information Packet Request

Thank you for your interest in the IMC online graduate program at West Virginia University. Please complete the form below to receive more information about the program. Or, if you prefer, contact our Director of Advising, Shelly Stump, at 304-293-3505 ext. 5450 to learn more.

Please note that due to the Thanksgiving holiday, there may be a slight delay in hearing back from the IMC program regarding your inquiry.

First Name

required

Middle Name

Last Name

required

Street Address

required

Street Address Line 2

City

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State

required

ZIP

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Phone

required

Example: (555) 555-5555

E-mail

required

Example: dmolsen@hotmail.com

All prospective students will receive e-mail and informational materials will be mailed to the address submitted.

Would you also like a representative of the IMC program to contact you on the telephone?

required

How did you hear about the IMC Program at West Virginia University?

required

Comments or Specific
Questions

Privacy Statement
The WVU IMC program respects your right to privacy. Information submitted through this form will be used solely by the IMC program. We will never sell your name or contact information to any third party. By submitting information using this form, you are requesting an information packet and follow-up communications from the IMC program at WVU.

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IMC Information Packet Request