STUDENT APPLICATION

Personal Information

Address

Address 2

City

Country * Country * United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burma Burundi Cambodia Cameroon Canada Cayman Islands Chad Chile China Colombia Comoros Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Fiji Finland France French Guiana French Polynesia Gambia Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guernsey Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands West Bank Western Sahara Yemen Zambia Zimbabwe Not Selected

State * State * 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 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 Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Not Selected Outside of the US Armed Forces Americas Armed Forces Europe Armed Forces Pacific

Zip/Postal Code

Additional Information

Date of Birth (mm/dd/yyyy) *

I am a U.S. Citizen * -- I am a U.S. Citizen * -- Yes No

Marital Status -- Marital Status * -- Single Married Divorced Separated Widowed Unknown I prefer not to answer

Employer

Gender -- Gender * -- Male Female Not specified I prefer not to answer

Hispanic/Latino -- Do you identify as Hispanic or Latino? * -- Yes No

Parents attended college -- Did your parents attend college? * -- Yes No I prefer not to answer

Work Experience -- How many years of work experience do you have (including volunteer work)? * -- Less than 1 year Between 1 year - 2 years More than 2 years I prefer not to answer

Military Affiliation -- Military Affiliation -- Active Guard Reserve Veteran Spouse or Dependent - Active Spouse or Dependent - Veteran

Educational Information

Add each of the colleges in which you have previously attended. Click the add button once you have entered the state and college name in the boxes below. These are the colleges from whom we will expect to receive transcripts.

-- State -- 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 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 Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Outside of the US

Start Date * -- Start Date * -- 10/11/2021 11/15/2021 12/13/2021 1/17/2022 1/10/2022

Primary Method of Tuition Payment * -- Primary Method of Tuition Payment * -- CSU-Study Privilege Employer Reimbursement Financial Aid Military Tuition Assistance (Federal) Military Tuition Assistance (State) Self Paid Third Party Payment VA Benefits

Year of Highschool Graduation or GED *

High School GPA *

Highest Education Level Completed * -- Highest Level of Education Completed * -- High School or GED 1-30 credits completed (Freshman) 31-60 credits completed (Sophomore) 61-90 credits completed (Junior) 91+ credit completed (Senior) Associate's Degree Associates Degree with Designation Bachelor's Degree Master's Degree Doctoral Degree

I am registered with Selective Services * -- I am registered with Selective Services * -- Yes No