Personal Data
Student A# *
First Name *
Middle Initial *
Last Name *
Local or Campus Address *
City *
State *
Zip Code *
Home Address *
City *
State *
Zip Code *
Phone *
Alternate Phone
Date of Birth *
MM
/
DD
/
YYYY
Gender *
City, State, and Country of Birth *
Last four digits of Social Security # *
Citizenship (Check One) *
Has either of your parents received a four-year college degree? *
Have you completed the FAFSA application for financial aid? *
Have you been awarded financial aid at WVSU? *
Are you a military veteran? *
Ethnic Origin *
Required
Married Status (Check One) *
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