ApplyTexas Sample Application – page 1 biographical information

Page 1 of 8 biographical information

school and major selection
First choice school and major	School of Behavioral and Brain Science: Cognitive Science - BS
Second choice school and major	School of Engineering & Computer Science: Electrical Engineering - BSEE

Want to change your school(s)/major(s)? Go back to the "select major" page [link disabled for previews] .

The University of Texas at Dallas has a message for Cognitive Science - BS applicants:

Available for B.S. degree

The University of Texas at Dallas has a message for Electrical Engineering - BSEE applicants:

Available for B.S.E.E., M.S.E.E., and Ph.D. degrees

Are you completing this application to apply for dual credit classes or concurrent enrollment at this institution while still in high school?

Yes No

Please select a deadline for your application to The University of Texas at Dallas.

The regular deadline for International Freshm applications (02/01/2018)

Fields marked with an asterisk (*) are required.

Enter your U.S. Social Security Number
Please enter your Social Security Number, if you have one. It is used to match your application to your transcript and test scores, and for financial aid.

Social Security Number (SSN)« No spaces, dashes or letters.

Confirm SSN « No spaces, dashes, or letters.
When were you born? *
Enter your date of birth (month, day, year). Do not leave blank; this information is required.

Date of Birth« 4 digit year Birthdate - Month Birthdate - day Birthdate - year
Full legal name: *
Enter your full legal last, first, and middle name. If you have a passport, enter your name exactly as it appears on your passport. Do not use nicknames or abbreviations because this information will be used for your official record if you enroll. Use your full legal name on all documents sent to the institution to which you are applying. Please do not include diacritical marks such as accents (') or tildes (~).

Last Name, Family Name or Surname

First Name or Given Name

Middle

Suffix
Preferred first name:
If you don't go by your legal first name, enter the name you prefer to be called.

Preferred first name

Other names or aliases.

If you attended school using a different name or took a standardized college entrance exam using a different name, please list name(s):

other names and aliases
Last/Family	First/Given	Middle	Suffix (Jr., etc)
Other or alias last name 1	Other or alias first name 1	Other or alias middle name 1	Other or alias suffix name 1
Other or alias last name 2	Other or alias first name 2	Other or alias middle name 2	Other or alias suffix name 2
Other or alias last name 3	Other or alias first name 3	Other or alias middle name 3	Other or alias suffix name 3

Place of Birth: *
Enter the city, state, and country where you were born.

City

State/Possession/Province

Country
Citizenship Information
1. Of what country are you a citizen?
  Citizenship country
2. Do you hold Permanent Residence status (valid I-551) for the U.S.?
  Yes No Not Applicable - Reset Answer
3. Country of legal permanent residence:
  Permanent residence country
4. If you have an Individual Taxpayer Identification Number (ITIN) and do NOT have a Social Security Number filled in above, please enter it below. Otherwise, please leave blank.
  No spaces, dashes or letters.
  
  ITIN:
  
  Confirm ITIN:
address standardization

Apply Texas standardizes permanent and physical addresses for U. S. addresses. What is address standardization? (opens in new window)

Permanent address: *
Street Address « F and J visas must list an address outside U.S.

Street Address line 2 « be sure to include your apartment number, if you have one.

Street Address line 3

City

State/Possession/Province « for U.S. or Canadian addresses only

Postal/Zip Code

Country
Physical address (current street address where you reside, if different from above)
If your Physical Address is the same as your Permanent Address, leave this question blank.

Street Address « if different from permanent address

Street Address line 2 « be sure to include your apartment number, if you have one.

Street Address line 3

City

State/Possession/Province « for U.S. or Canadian addresses only

Postal/Zip Code

Country
Phone Numbers
Numbers only, no dashes, dots or parentheses, please. Please include your area code.

Preferred Phone Country Code« if not a U.S. number

Preferred Phone *

Preferred Phone Type *

Alternate Phone Country Code« if not a U.S. number

Alternate Phone

Alternate Phone Type
Emergency Contact: *
Title

First Name

Last Name

Phone Country Code« if not a U.S. number

Phone number « numbers only

No phone« check here if your contact does not have a phone number

Street Address

Street Address line 2 « be sure to include your apartment number, if you have one.

City

State/Possession/Province « for U.S. or Canadian addresses only

Country

Postal/Zip Code

E-mail address

E-mail confirmation « Please re-type emergency contact email
Student e-mail address: *
The email address provided may be used to communicate important information to you regarding your application.

E-mail address

E-mail confirmation « re-type your address
The Ethnicity and Race question does not apply to International Applicants.
Your gender:
Male Female

☆ Please enter your Social Security Number if you have one as it is important for purposes of the identity of your application, grade transcript, test scores, and financial aid.

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An application that is saved but not submitted is subject to deletion after 180 days.

You are saving the first page of your application. Once saved, the school you selected will have access to your application. Please understand that an incomplete application will not be used for admissions or recruitment purposes; however, you may receive an inquiry from your chosen college asking if you require assistance in completing your electronic application. You may revise your application up to the time when you request that it be submitted to your chosen university.

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