Personal Information
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Personal Information
: Personal information such as name, address and e-mail address
Legal Last Name
Legal First Name
Middle
Prefered Name (NickName)
Government ID-SSN
Date of Birth
(mm/dd/yyyy)
Mailing Address
Address Line 2
City
State / Province
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Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces - Americas
Armed Forces - Europe
Armed Forces - Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States Of Micronesia
Florida
Foreign Country
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Unknown
Unknown/Not Applicable
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
+ 4
Area Code
Phone #
Unlisted?
Additional Phone
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Cellular
College Phone List
Emergency Contact
Home
Missing Student
School
Area Code
Phone #
Unlisted?
Email Address
Country of citizenship
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Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Antigua and Barbuda
Argenntina
Armenia
Armenia
Atlantic Island St Pierre
Atlantic Islands, British incl
Atlantic Islands, Portuguese
Atlantic Islands, Spanish
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize (British Honduras)
Bermuda
Bhutan
Bolivia
Bosnia/Herzegovina
Botswana
Brazil
Brunei
Bubai2
Bulgaria
Burkina Faso (Upper Volta)
Burundi
Cambodia (Kampuchea)
Cameroon
Canada
Canal Zone
Cape Verde
Central African Republic
Chad
Chile
China, People's Republic of
Columbia
Comoros
Congo, Republic of
Costa Rica
Croatia
Cuba
Cyprus
Czech Republis, The
Denmark, Inc. Faeroe Islands
Dibouti (French Terr. of Arars
Dominica
Dominican Republic
Ecuador
Egypt, Arab Republic of
El Salvador
Equatorial Guinea (Rio Muni)
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Guiana
Gabon
Gambia
Georgia
German Democratic Rep3
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea, Bissau (Portuguese)
Guinea, Republic of
Guyana (British Guiana)
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indian Island, British
Indian Islands, Other
Indiana Islands, French
Indonesia
Infi4
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kalaalit Nunaat (Greenland)
Kazakhstan
Kenya
Kiribati (Gilbert Islands)
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho (Basutoland)
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi (Nyasaland)
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia
Moldava
Monaco
Mongolia
Moroco
Mozambique
Myanmar (Burma)
Namibia (Southwest Africa)
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pacific Islands, British
Pacific Islands, French
Pacific Islands, Other
Pacific Islands, U.S.
Pakistan
Panama
Papua New Guinea
Paraguay
People's Rep of Benin
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Lucia
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Sikkim5
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa (Rep. of)
Spain
Spanish Sahara6
Sri Lanka
St Christopher & Nevis
St Vincent & the Grenadines
Surinam
Swaziland
Sweden
Switzerland
Syria
Taiwan (Rep of China, Formosa)
Tajkistan
Tanzania
Thailand
Tibet
Timor7
To be Assigned
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu (Ellice Islands)
Uganda
Ukraine
Ukraine
United Arab Emitrates
United Kingdom
United States
Unknown
Uruguay
Uzbekistan
Vanuatu (Hew Hebrides)
Vatican City (Rome)
Venezuela
Vietnam
Vietnam (South)8
West Bank & Gaza Strip
West Indies, British
West Indies, Dutch
West Indies, French
Western Samoa
Wrangel Island (Ostrov Vrangel
Yemen Arab Republic
Yemen, People's Democratic
Yugoslavia
Zaire
Zambia(Northern Rhodesia)
Zimbabwe
Begin Study In...
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Summer II 2024
Fall 2024
Spring 2025
Summer I 2025
required and
optional