Common app

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2009-10 First-year Application
For Spring 2010 or Fall 2010 Enrollment

APPLIC ANT
Legal name ____________________________________________________________

_______________________________________________________
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 ____________________________________________________ Female Male
mm/dd/yyyy

Former last name(s), if any _______________________________________ US Social Security Number, if any ___________________________________
Optional, unless applying for US Federal financial aid with the FAFSA form

E-mail address ________________________________________________
Number &Street City/Town Area Code State/Province

IM address _____________________________________________ _______
Apartment # Country Area Code ZIP/Postal Code

Permanent home address ____________________________________________________________

_____________________________________ _______ __ ________________________________________________________________________________________________________________________

____ Permanent home phone (_____________) _________ ______________ ______ Cell phone (_____________) ________________________ __________ ____

If different from above, please give your current mailing address for all admission correspondence. Current mailing address __________________________________________________________________________________________________________
Number & Street City/Town State/Province Country Apartment # ZIP/Postal Code

____________________________________________________________

____________________________________________________________

____ If your current mailing address is a boarding school, include name of school here: ____________________________________________________________

__ _ __ Phone at currentmailing address (_____________) _____________________
Area Code

(from ___________ to ___________)
(mm/dd/yyyy) (mm/dd/yyyy)

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:________________________________________________________ Deadline: ______________________________________________________
mm/dd/yyyy

Entry Term: Decision Plan:

Fall (Jul-Dec) Regular Decision Early Decision Early Action Restrictive Early Action

Spring (Jan-Jun) Rolling Admission Early Decision II Early Action II Early Admission
juniors only

Career Interest:________________________________________________

Yes No Do you intend to apply for need-based financial aid? Do you intend to apply for merit-based scholarships? Yes No Do you intend to be a full-time student? Yes No Do you intend to enroll in a degree program your first year? Yes No Do you intend to live in college housing? ______________________________ Academic Interests: _________________________________________________________________________________________________________

____________________________________________________________

DEMOGRAPHICS
US citizen Dual US citizen US permanent resident visa (Alien registration # _____________________ ) Other citizenship (Visa type ____________________________________ ) List any non-US countries of citizenship___________________________________________________________________________________________

_ ____________________________________________________________

_ How many years have you lived in the United States?_____________________ Place of birth ______________________________________________________
City/Town State/Province Country

1. Are you Hispanic/Latino? Yes, Hispanic or Latino (including Spain)

No

Please describe your background...
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