Kapuhai Reef

Application for Acceptance

Ally - 19-3-2011 at 03:36 PM


KRU APPLICATION


PERSONAL INFORMATION

FIRST NAME:

MIDDLE NAME:

LAST NAME:

BIRTHDAY:

GENDER:

CURRENT RESIDENCE:

ETHNIC BACKGROUND
(please select only one)
[ ] American Indian or Alaska Native
[ ] Asian American or Pacific Islander
[ ] Black or African American
[ ] Chicano or Hispanic
[ ] White or Caucasian
[ ] Other

ARE YOU A US CITIZEN?:

IF NOT, ARE YOU A PERMANENT RESIDENT?:


ACADEMIC INFORMATION

INTENDED MAJOR:

INTENDED CONCENTRATION:

INTENDED MINOR:

APPLYING AS:
(please select only one)
[ ] Freshman
[ ] Sophmore
[ ] Junior
[ ] Senior
[ ] Graduate Level



HIGHSCHOOL EDUCATION

HIGHSCHOOL NAME:

CITY/STATE:

GRADUATION YEAR:

GPA:

DEGREE:
(please select only one)
[ ] Diploma
[ ] GED