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Slippery Rock University

 

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Information Yes! I would like to learn more about Slippery Rock University.
Please complete and submit the following information, noting these special instructions:
  • User proper capitalization. (Example: James T Smith)
  • If you do not know your day of graduation, enter 01
  • Information that you may provide regarding race, ethnicity, gender and date of birth, is used for reporting and identification purposes only. Although this information is not required, it most likely will help us better assist you.

Required - indicates a required field.
Legal Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Information Note to those with non-US addresses: Due to current limitations, we are not able to alter the format of this page to match international mailing standards. Please use only address lines 1 - 3, city, zip or postal code, and nation.

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

Personal E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Birth Date
Date of Birth:Required Month Day Year (YYYY)

Gender
Gender:Required Male Female Not Specified

Ethnicity/Race
Ethnicity:

Note What is your ethnicity?

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Note Select one or more races to indicate what you consider yourself to be.

American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
AMERICAN INDIAN/ALASKAN NATIVE
ASIAN
BLACK or AFRICAN AMERICAN
NATIVE HAWAIIAN/PACIF ISLANDER
WHITE

Citizenship
Citizenship:Required

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

SRU Entry Term
Term of Entry:Required

Academic Major
Major:Required

How did you learn about?
How I Learned About Slippery Rock University:Slippery Rock University

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Release: 8.7.2.12