LegalName

• * First 
• Middle 
• * Last  

• * Date of Birth (MM/DD/YYYY) 
  

Used only for tracking and identification purposes

• * Address  
• City/State/ZIP  / /
• Country 
• * - - Phone  
• E-mail address 

For Undergraduate Students only

• High School  
• Graduation Year  
• High School Class Rank 
• High School Class Size 
• High School GPA 
• ACT or SAT Score (U.S. students only) 

• Transfer Student  YES   NO 
• College (if transfer) 

• Intended Major 
• Co-Curricular interests 
• What year do you expect to enter? 
• Semester  Fall   Spring   Summer