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SKC Undergraduate Application for Admissions

Section 1: Personal Information
Page 1 of 8

Please enter your legal name as it appears on your social security card.

1. 
Prefix
2. 
First Name
*Required, Maximum characters allowed: 30
3. 
Middle Name
*Required, Maximum characters allowed: 30
4. 
Last Name
*Required, Maximum characters allowed: 60
5. 
Suffix
6. 
Preferred Name
Maximum characters allowed: 30
7. 
What is your birth/maiden name?
Maximum characters allowed: 30
8. 

Date of Birth (mm/dd/yyyy)

*Required, Format: mm/dd/yyyy
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9. 
Gender (M/F)
*Required
10. 
Social Security Number
*Required, Format: 123-45-6789
11. 
Email Address
*Required, Maximum characters allowed: 60
12. 
Marital Status
*Required
13. 
What is your mobile/cell phone number?
Format: 123-456-7890
14. 
Are you currently serving in the US Military or a Veteran?
*Required
15. 

What military branch did you serve in?

16. 
Citizenship Status
*Required
17. 
I am a resident of the following state:
*Required
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