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Admission & Aid
DMS Request More Information
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Thank you for your interest in Butler University. Complete this form, and we'll add you to our contact list.
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Student Type
Graduate
Graduate Non-Degree
Non-Credit
Undergraduate
Undergraduate Degree Completion
First name*
Last name*
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Birthdate*
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Email address*
Mobile phone
Which program are you most interested in?*
Doctor of Medical Science
Doctor of Medical Science Bridge program
Healthcare Practice and Administration graduate certificate
Medical Science graduate certificate
Nurse Educator graduate certificate
PA Educator graduate certificate
Academic Interest Method
Staff
Student
System
Academic Interest Source
Event
Form
Import
Manual Entry
Scheduler
Academic Interest Person Status
Applicant
Inquiry
Prospect
Mailing Address
Country
Street
City
Region
Postal Code
Tell us more about you.
When are you interested in starting this program?*
2025
2026
2027
2028
Which semester?
Spring (January) semester
Summer (May) semester
Fall (August) semester
Previous (Most Recent) Institution of Study
Previous Institution CEEB
Previous Institution Level of Study
Graduate
High School
Non-Degree
Undergraduate
I'd like to receive text messages from Butler from time to time about my admission status and upcoming deadlines and events.
I'd like to receive text messages from Butler from time to time about my admission status and upcoming deadlines and events.
Yes
No
How did you hear about our program?
How did you hear about our program?
Advertising/social media
Butler staff/recruiter
Butler's website
Conference
Email/mail from Butler
Employer
Friend/coworker
Media/news
Other
Search Engine
Trade publication
Please explain
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