We appreciate your interest in Lamar University and want to learn more about you. Please answer the questions below to help us keep you informed about everything future Lamar University students need to know, including upcoming events. Provide as much information possible. An asterisk denotes required information.

- indicates a required field.

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

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

Birthdate
Date of Birth:	Month Day Year (YYYY)

Gender
Gender:	Male	Female	Not Specified

Your social security number is not required; however, we do encourage you to submit it. By entering your social security number, it will help us accurately identify your records as you begin the application and financial aid process.

Social Security Number
U.S. Social Security Number:	(999999999 or 999-99-9999)

This is the email address we will use to communicate with you and notify you of upcoming events. Please provide an email address that you check on a regular basis.

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

Expected Entry Term
Term of Entry:

Anticipated Academic Major
Major:

High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
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+)

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