ApplyTexas Sample Application – page 1 biographical information

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Page 1 of 9 biographical information

school and major choices
First choice school	Graduate School
First choice major	Finance (PhD)

Want to change your school or major? Go Back to the "select major" page.

Application deadline for Finance (PhD) applicants:

The deadline for this application is January 15, 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. 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/Family Name

First 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 (for example, SAT, GRE, TOEFL) using a different name, please list name(s):

other names
Last/Family	First	Middle	Suffix
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
Are you a U.S. Citizen? *
Yes No
Non-U.S. Citizens complete the following
1. If no, of what country are you a citizen?
  Citizenship country
2. Do you hold Permanent Residence status (valid I-551) for the U.S.?
  If Yes, please submit a copy of both sides of the card.
  
  Yes No Not Applicable
  
  If "Yes", date permanent resident card issued with 4 digit year:
  
  Permanent resident card: month permanent resident card issued day permanent resident card issued 4 digit year permanent resident card issued
  
  Alien Number«(Failure to provide may delay processing)
3. If you are not a U.S. citizen or permanent resident, do you have an application for permanent residence (form I-485) pending with the U.S. Citizenship and Immigration Services (USCIS)?
  (If "Yes," submit a copy of your Notice of Action from the USCIS, form I-797C.)
  
  Yes No Not Applicable
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:
5. If you are not a citizen or permanent resident or have no application pending with the USCIS, did you live or will you have lived in Texas for 36 consecutive months leading up to high school graduation or completion of the GED?
  If "Yes," please submit a completed Affidavit of Intent to Become a Permanent Resident.
  
  (This PDF document requires Adobe Acrobat Reader to access it: Download Adobe Acrobat Reader now.)
  
  Yes No Not Applicable
6. If you are not a U.S. citizen or U.S. permanent resident, are you a foreign national here with a visa that makes you eligible to domicile for Texas residency purposes (see list of eligible visas) or are you a Refugee, Asylee, Parolee or here under Temporary Protective Status?
  (If you select an option below, please submit a copy of your Notice of Action from the USCIS, form I-797C, or a copy of your current visa.)
  
  If so, indicate which
7. If you are not a citizen or permanent resident, have no application pending with the BCIS, and have not lived in Texas for three years preceding high school graduation or receipt of a GED in Texas, have you previously attended Prairie View A&M University?
  Yes No
Status as a current U.S. military servicemember, veteran, or dependent:
A U.S. military servicemember is a person who is serving in any branch of the U.S. Armed Forces, including the National Guard or Reserves. Please select any of the following that apply to you. I am a:
- veteran (former U.S. military servicemember)
- current U.S. military servicemember
- spouse or dependent of a veteran or a current U.S. military servicemember
- spouse or dependent of, or a veteran or current U.S. military servicemember with an injury or illness resulting from military service (service-connected injury/illness)
- spouse or dependent of a deceased U.S. servicemember
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 « address only - do not need to re-enter your name

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

Postal/Zip Code Postal code (first 5 digits) – Postal code (last 4 digits)

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.

City

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

Postal/Zip Code Postal code (first 5 digits) – Postal code (first 4 digits)

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

City

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

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
Family Educational Background:
Please indicate the highest level completed of your parents' or legal guardians' educational background:

Parent/Guardian 1's education level

Relationship to you

Parent/Guardian 2's education level

Relationship to you
Ethnicity and Race:

Are you Hispanic or Latino? (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)

Yes No
Please select the racial category or categories with which you most closely identify. Check as many as apply.
- American Indian or Alaska Native
  (A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.)
- Asian
  (A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine islands, Thailand, and Vietnam.)
- Black or African American
  (A person having origins in any of the black racial groups of Africa.)
- Native Hawaiian or Other Pacific Islander
  (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific islands.)
- White
  (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)
Your gender:
Male Female

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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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