SRI Online Application

The application has 6 pages with various questions. You do have to complete the application in one sitting, so please have all information ready before you start the application. Your application will not be saved until you press submit at the end of the application.

If you have any technical problems with the application, please contact the
Graduate College Webmaster

Personal Information

First Name: *

Middle Name:

Last Name: *

Suffix:

Other Names on Transcripts:

Email Address: *

Gender: *

Male

Female

Date of Birth: *

What is your legal status in the United States?: *

(Upon acceptance to the program, you will be required to supply your Social Security number or your Alien Residence number.)

Eligibility

Review the official Eligibility Requirements

Please choose the option that shows how you are eligible for this program.: *

If you are eligible for this program for more than one reason in the list above, please choose your second reason.:

If you chose “Other” as a reason that you are eligible for this program, please explain.:

If you are American Indian/Alaska Native, please indicate your tribal affiliation:

If you are Native Hawaiian or Other Pacific Islander, please indicate which island you are from:

Contact Information

Home Telephone Number: *

Cell Phone Number: *

Permanent Telephone Number (phone for future contact, e.g. parents): *

Current Mailing Address

Address Line 1: *

Address Line 2:

City: *

State/Province: *

Country: *

Zip Code: *

Permanent Mailing Address (address for future contact e.g. parents)

Address Line 1: *

Address Line 2:

City: *

State/Province: *

Country: *

Zip Code: *

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SRI Online Application