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Info Please enter the requested information. Please note that an asterisk denotes required information.

Required - indicates a required field.
Prospect Entry Term
Term of Entry:Required

How Prospect Learned About Us
How I Learned About Southern University System:Southern University System

Prospect Student Type
Student Type:Required

Prospect Major
Major:Required

Prospect Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Info Enter the address where the post office delivers your mail. Be sure to include the city, state, and county/parish in which you live. Any brochures or other literature will be sent to this address.

When entering your telephone number, use the first box for the area code and the second box for the 7-digit phone number.

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Additional Telephone Numbers
Telephone Type:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:
Telephone Type:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:
Telephone Type:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Info If your e-mail address changes, you are responsible for notifying us. All correspondence will be sent via email.

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Info We are requesting your Social Security number to ensure compliance with federal and state reporting requirements. Your Social Security Number is required if you plan to apply for financial aid; but is not required for admission to the university. Providing your Social Security Number will, however, speed up the process of matching your contact information with other materials such as transcripts and test scores. The university has a strong commitment to ensuring the privacy and confidentiality of student records and will not disclose your Social Security Number without your consent for any purposes except as allowed by law.

Prospect SSN/TIN/TFN
U.S. Social Security Number:Required (999999999 or 999-99-9999)

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

Prospect Gender
Gender: Male Female Not Specified

Prospect Ethnicity/Race
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White

Academic Information

Prospect High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:Required
Address Line 1:
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

Prospect Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

Prospect Test Scores
Test Type: Test Score: Test Date:
Month Year (YYYY)  
Month Year (YYYY)  
Month Year (YYYY)  
Month Year (YYYY)  
Month Year (YYYY)  
Month Year (YYYY)  
Month Year (YYYY)  
Month Year (YYYY)  

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Release: 8.5.4