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Seton Hall

 

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Prospect Information Form

  

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Required - indicates a required field.
Prospect Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Primary 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:

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

Prospect SSN/TIN/TFN
U.S. Social Security Number: (999999999 or 999-99-9999)

Prospect Gender
Gender:Required Male Female Not Specified

Prospect Ethnicity/Race
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
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Prospect Citizenship
Citizenship:

Prospect Entry Term
Term of Entry:Required

Prospect Major
Major:Required

Information This is sample Information text for the PRIORCOLL section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

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

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Release: 8.7.1