美国大学入学申请表
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City/Town County or Parish State/Province Country ZIP/Postal Code
If different from above, please give your current mailing address for all admission correspondence.
Marital Status_ ____________________________________________________ Religious Preference ________________________________________________ US Armed Services veteran? p Yes p No
____________________________________________________________________________________________________________________________
ZIP/Postal Code
If your current mailing address is a boarding school, include name of school here: ____________________________________________________________ ___ __
City/Town State/Province Country
1. Are you Hispanic/Latino?
p Yes, Hispanic or Latino (including Spain) p No
Please describe your background _________________________________________________
2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check all that apply.) p American Indian or Alaska Native (including all Original Peoples of the Americas)
First Language_ _________________________________________________ Primary language spoken at home______________________________________ Are you proficient in any other languages?_ _______________________________ _________________________________________________________________ Optional The items with a gray background are optional. No information you provide will be used in a discriminatory manner.
Number & Street Apartment # City/Town County or Parish State/Province Country
(from ___________ to ___________)
(mm/dd/yyyy) (mm/dd/yyyy)
Current mailing address __________________________________________________________________________________________________________
Optional, unless applying for US Federal financial aid with the FAFSA form Area/Country/City Code
Preferred Telephone p Home p Cell Home (_______) __________________________________ Cell (_______) __________________________________ E-mail Address _________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Preferred name, if not first name (choose only one)_______________________ Birth Date_____________________________________________________ p Female p Male
DemographicS
Citizenship Status_ ______________________________________________ Non-US Citizenship_______________________________________________ _____________________________________________________________ _____________________________________________________________ Years lived in the US?_ ____________________________________________ Birthplace_ ________________________________________________________
mm/dd/yyyy Area/Country/City Code
Former last name(s), if any _______________________________________ US Social Security Number, if any ___________________________________
Decision Plan_ ___________________________________________________ Academic Interests_ _____________________________________________ ____________________________________________________________ ____________________________________________________________ Career Interest__________________________________________________
FUTURE PLANS
Your answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college chose not to ask that question of its applicants. College ________________________________________________________
p Yes p Yes p Yes p Yes
p No p No p No pΒιβλιοθήκη BaiduNo
Do you intend to live in college housing?_______________________________ What is the highest degree you intend to earn?__________________________
Deadline ______________________________________________________
mm/dd/yyyy
Entry Term: p Fall (Jul-Dec)
p Spring (Jan-Jun)
Do you intend to apply for need-based financial aid? Do you intend to apply for merit-based scholarships? Do you intend to be a full-time student? Do you intend to enroll in a degree program your first year?
2010-11 First-year Application
For Spring 2011 or Fall 2011 Enrollment
APPLIC ANT
Legal Name ___________________________________________________________________________________________________________________
Number & Street
IM Address _____________________________________________ _______
Apartment #
Permanent home address _________________________________________________________________________________________________ _______ __ ____________________________________________________________________________________________________________________________
Are you Enrolled? p Yes p No If yes, please enter Tribal Enrollment Number________________ Please describe your background _________________________________________________
If different from above, please give your current mailing address for all admission correspondence.
Marital Status_ ____________________________________________________ Religious Preference ________________________________________________ US Armed Services veteran? p Yes p No
____________________________________________________________________________________________________________________________
ZIP/Postal Code
If your current mailing address is a boarding school, include name of school here: ____________________________________________________________ ___ __
City/Town State/Province Country
1. Are you Hispanic/Latino?
p Yes, Hispanic or Latino (including Spain) p No
Please describe your background _________________________________________________
2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check all that apply.) p American Indian or Alaska Native (including all Original Peoples of the Americas)
First Language_ _________________________________________________ Primary language spoken at home______________________________________ Are you proficient in any other languages?_ _______________________________ _________________________________________________________________ Optional The items with a gray background are optional. No information you provide will be used in a discriminatory manner.
Number & Street Apartment # City/Town County or Parish State/Province Country
(from ___________ to ___________)
(mm/dd/yyyy) (mm/dd/yyyy)
Current mailing address __________________________________________________________________________________________________________
Optional, unless applying for US Federal financial aid with the FAFSA form Area/Country/City Code
Preferred Telephone p Home p Cell Home (_______) __________________________________ Cell (_______) __________________________________ E-mail Address _________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Preferred name, if not first name (choose only one)_______________________ Birth Date_____________________________________________________ p Female p Male
DemographicS
Citizenship Status_ ______________________________________________ Non-US Citizenship_______________________________________________ _____________________________________________________________ _____________________________________________________________ Years lived in the US?_ ____________________________________________ Birthplace_ ________________________________________________________
mm/dd/yyyy Area/Country/City Code
Former last name(s), if any _______________________________________ US Social Security Number, if any ___________________________________
Decision Plan_ ___________________________________________________ Academic Interests_ _____________________________________________ ____________________________________________________________ ____________________________________________________________ Career Interest__________________________________________________
FUTURE PLANS
Your answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college chose not to ask that question of its applicants. College ________________________________________________________
p Yes p Yes p Yes p Yes
p No p No p No pΒιβλιοθήκη BaiduNo
Do you intend to live in college housing?_______________________________ What is the highest degree you intend to earn?__________________________
Deadline ______________________________________________________
mm/dd/yyyy
Entry Term: p Fall (Jul-Dec)
p Spring (Jan-Jun)
Do you intend to apply for need-based financial aid? Do you intend to apply for merit-based scholarships? Do you intend to be a full-time student? Do you intend to enroll in a degree program your first year?
2010-11 First-year Application
For Spring 2011 or Fall 2011 Enrollment
APPLIC ANT
Legal Name ___________________________________________________________________________________________________________________
Number & Street
IM Address _____________________________________________ _______
Apartment #
Permanent home address _________________________________________________________________________________________________ _______ __ ____________________________________________________________________________________________________________________________
Are you Enrolled? p Yes p No If yes, please enter Tribal Enrollment Number________________ Please describe your background _________________________________________________