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Hampton You!

 

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Information Please enter your information as accurately as possible.

To request additional information or post any questions, please click the link provided: Request Information

Required - indicates a required field.
Information Select which entry term you expect to attend.

Entry Term
Term of Entry:

Information Please select the type of student you will be for the entry term you selected above.

Student Type
Student Type:

Information Please enter in all the necessary information.

Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Information Please provide us with an accurate 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:

Information Please provide us with your accurate Social Security Number.

Social Security Number
U.S. Social Security Number: (999999999 or 999-99-9999)

Information Please provide us with your citizenship.

Citizenship
Citizenship:

Information Please select your gender.

Gender
Gender: Male Female Not Specified

Information Please select your ethnicity.

Ethnicity
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

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

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other

Information Please provide us with an accurate email address.

Email
E-mail Address:
Verify E-mail Address:

Information Please choose your high school from the lookup button. If it is not listed, please fill out the necessary information.

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

Information Please choose your previous college from the lookup button. If it is not listed, please fill out the necessary information.

Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

Information Please choose the major you would like to pursue.

Major
Major:

Information Please select your interests from the options provided. To select multiple interests use Ctrl+Click for PC and Command+Click for Mac.

Interests
Interests:

Information Please select all the necessary materials you would like to receive. To select multiple materials use Ctrl+Click for PC and Command+Click for Mac.

Materials
Request Materials:

Information Please select how you learned about Hampton University.

How I Learned
How I Learned About Hampton You!:

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Release: 8.7.2.12