About Yourself

     
      First Name:

      Last name:

      Middle Name or Initial:

      Date of Birth:                                  Day                          Month                             Year

      County of Birth:

      Number and Street Address                                           

      State/Province:

      Zip Code:

      Telephone:
     
      Select:  

      E-mail Address

      Social Security #

      Ethnic Background (optional)
        American Indian or Alaskan Native
        Asian or Pacific Islander (including Indian Subcontinent)
        Black (non-Hispanic) Hispanic (including Puerto Rican)
        White, Anglo, Caucasian American (non-Hispanic)

     Are you a U.S. Citizen?   

     If you are not a U.S. Citizen, what is your status? 
 
Admissions Information

      When do you plan to enroll             Month                                 Year

      Will you be a freshman 
     
      Have you taken the SAT?

      If not, when will you take the SAT?  Month                                 Year

      Have you taken the ACT?

      If not, when will you take the ACT?  Month                                 Year

      Have you ever applied to this institution?

      If yes, what is your admission status?    

      Did you enroll in this institution? 

      If yes, what years did you attend?     From                                 Year                    To                            Year

      Which program did you attend?   

      What is your housing preference? 

      Will you be applying for financial aid?

      Are you interested in ROTC?

      
  
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