RACE AND ETHNICITY IDENTIFICATION

These questions comply with the U.S. Department of Education's implementation of the Office of Management and Budget's 1997 standards for maintaining, collecting, and presenting federal data on Race and Ethnicity.

Please Check One
Black/African AmericanHispanic/LatinoAsianNon-Hispanic/Non-LatinoWhite/CaucasianNative Hawaiian or Other Pacific Islander

EDUCATIONAL INFORMATION

GED (General Education Degree)/ High School Information

Please give the full name of the High School you attended:

List ALL Colleges Previously Enrolled

CITIZENSHIP STATUS (CHECK ONE)

CLASS DELIVERY OPTION (PLEASE SELECT ONE.)

Campus BasedOnlineHybrid/Combination

ENTRANCE TERM (PLEASE SELECT ONE.)

Select one that applies

New StudentReturning StudentTransferWithdrawn