Visiting Student Application

Name (first, mi, last):              
Address line 1:      
Address line 2:      
City, State, Zip:              
Cell Phone:     
Email Address:     
Verify your email address:     
Date of Birth:     
Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following questions.
Your Gender:     
Are you Hispanic or Latino?     
Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:     American Indian or Alaska Native
    Black or African American
    Native Hawaiian or other Pacific Islander
    Prefer not to answer
Semester you want to take courses:     Fall
Home Institution: