4.
Legal Last Name
*Required, Maximum characters allowed: 60
5.
Legal First Name
*Required, Maximum characters allowed: 30
6.
Middle Name
Maximum characters allowed: 30
7.
Preferred First Name
Maximum characters allowed: 30
8.
Birth or Maiden Last Name
Maximum characters allowed: 30
9.
Social Security Number *We recommend providing your SSN to assist in processing of your Financial Aid*
Format: 123-45-6789
10.
Date of Birth
*Required, Format: mm/dd/yyyy
12.
Religious Affiliation
15.
Citizenship
*Required
16.
If you are here on a visa, what type of visa is it?
17.
Ethnicity - if Nonresident Alien was chosen above, Ethnicity and Race can be omited
*Required
18.
Race - only necessary if Not Hispanic/Latino was chosen above
*Required
19.
Education level of parent 1
20.
Education level of Parent 2
21.
Have you attended college/university after High School?
22.
Email Address
*Required, Format: x@x.xx
23.
Mobile Phone Number
Format: 123-456-7890
24.
Permanent Address Line 1
*Required, Maximum characters allowed: 60
25.
Permanent Address Line 2
Maximum characters allowed: 60
26.
City
*Required, Maximum characters allowed: 25
28.
Zip Code
Format: 12345 OR 12345-6789 OR 123456789 OR A1B 2C3
29.
Non-US Country Only *Complete if you are an international student
30.
Home Phone Number
*Required, Format: 123-456-7890
31.
County of Residence
(If you do not live in Texas, select out-of-state county)
*Required
32.
Maximum characters allowed: 45
33.
Parent/Guardian email address
Maximum characters allowed: 60
34.
United States Veteran?
35.
For what branch of the military are you a veteran?
36.
Are you receiving veteran's benefits?
37.
Dependent of a Veteran?