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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:
** County:
Current Address: (if different)
City, State Zip:
County:
** Gender: Male   Female
** Marital Status: Single   Married
** Phone:
Student Cell Phone:
Other Phone:
SSN: (not a secure server)
** Birthdate: , 19
Birthplace:
** Email:
** US Citizen? Yes     No
If NO...   Country of Citizenship:
  Resident Alien #
Ethnic Origin:
Denomination:
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:
 
**County:
 
**Phone:
 
Please indicate the highest level of your parent's
or legal guardian's educational background:
**Father / Guardian:
 
**Mother / Guardian:
 

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


               
 
2200 Hickory, Box 16050
Abilene, TX 79698
 
325.670.1206
877.GO.HSUTX
 
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