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**
indicates a required field
BIOGRAPHICAL INFORMATION
**
First Name:
Middle Name:
**
Last Name:
Preferred Name:
Maiden Name:
**
Permanent Address:
(where grades are sent)
**
City, State Zip:
- -
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AP
**
County:
Current Address:
(if different)
City, State Zip:
- -
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
County:
**
Gender:
Male
Female
**
Marital Status:
Single
Married
**
Phone:
Student Cell Phone:
Other Phone:
SSN:
(not a secure server)
**
Birthdate:
month
- - - - - - - - - -
January
February
March
April
May
June
July
August
September
October
November
December
day
- - -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
, 19
Birthplace:
**
Email:
**
US Citizen?
Yes
No
If NO...
Country of Citizenship:
Resident Alien #
Ethnic Origin:
select one...
- - - - - - - - - - - - - - - - - - - -
American Indian / Alaska Native
Asian
Black or African American
Hispanic
Native Hawaiian or other Pacific Islander
White / Non Hispanic
Nonresident Alien
Race and Ethnicity Unknown
Two or more races
Denomination:
select one...
- - - - - - - - - - - - - - - - - - - -
Baptist, Other
Church of Christ
Episcopal
Jewish
Lutheran
Methodist
Non-Denominational
Presbyterian
Roman Catholic
Southern Baptist
No Preference
Other
Check all that apply:
I have attended a summer camp at HSU.
I have a brother or sister who currently attends HSU.
I have a brother or sister who graduated from HSU.
My mother or father graduated from HSU.
I'm involved in Acteen/Mission Quest Awana, Bible drill or Speakers Tournaments.
PARENT/SPOUSE INFORMATION
**
Mr.
Mrs.
**
Parent
Guardian
Spouse
Other
**
First Name:
**
Last Name:
**
Relation to Student:
**
Street Address:
**
City, State Zip:
- -
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
**
County:
**
Phone:
Please indicate the highest level of your parent's
or legal guardian's educational background:
**
Father / Guardian:
select one...
- - - - - - - - - - - - - - -
Middle School / Jr. High
High School
College or Beyond
**
Mother / Guardian:
select one...
- - - - - - - - - - - - - - -
Middle School / Jr. High
High School
College or Beyond
FINANCIAL AID INFORMATION
**
Are you planning to file the Free Application for Federal Student Aid (FAFSA)?
Yes
No
Are you eligible for VA benefits?
Yes
No
Do you have prior military service?
Yes
No
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Abilene, TX 79698
325.670.1206
877.GO.HSUTX
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877.GO.HSUTX