Low Residency UG Application

Student Information

Name

Prefix

First Name *

Middle Name

Last Name *

Suffix

Preferred First Name

Other Last Name(s) Used

Addresses

United States Mailing Address (if applicable) *

Country

Street

City

Region

Postal Code

Home Country Address (permanent residence) *

Country

Street

City

Region

Postal Code

Email Address

Email Address *

Telephone Numbers

Primary Phone *

Mobile Phone

Biographical Information

Birthdate *

Sex *

Female

Male

Demographic Information

Pronouns

Marital Status*

Head of Household

Married

Single

Unknown

Widowed

Religious Affiliation*

Are you Hispanic or Latino? *

Race *

American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American

Native Hawaiian or Other Pacific. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa

Citizenship Information

Primary Citizenship *

Secondary Citizenship

Residency Status *

I am an international student - VISA

Application Information

Student Type *

Freshman: I have just finished high school and have not attended college.

Transfer: I have completed some college, and I will be an on-campus student during the day.

Did either of your parents attend or complete college?

Neither parent attended college.

One or both parents attended college, but neither parent completed college.

One or both parents completed college.

Don't know.

Have you completed a bachelor's degree?

Yes

Please select one of the following that best fits you:

Post Bacc - Degree Seeking

Post Bacc - Non Degree Seeking

What is your major of interest? *

When would you like to start classes? *

Do you plan on living on campus? *

Yes

Education History

Please provide a list of academic history, in the order of attendance.

School #1 *

School #1 CEEB Code *

Graduation Date

Level of Study

Do you have another institution to enter? *

Yes

School #2

School #2 CEEB Code

Graduation Date

Level of Study