Schreiner University Priority Application

Student Information

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* 1. Legal First Name

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* 2. Middle Name

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* 3. Legal Last Name

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* 4. Suffix (Jr., Sr. etc)

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* 5. Preferred Name

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* 6. Date of Birth xx/xx/xxxx

DOB

Date

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* 7. Biological Sex

Male

Female

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* 8. Are you of Hispanic or Latino descent?

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* 9. Race (select all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian/Pacific Islander

White

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* 10. Citizenship