Title                                                                
Last Name*:                                                   
First Name*:                                                   
Middle Name:                                                 
Suffix                                                              
Gender*:                                                        
E-Mail*:                                                         
Day Phone:                                                     
Home Telephone*:                                           
Date of Birth*(mm/dd/yyyy):                             
Ethinicity*:                                                        
Citizenship*:                                                    
Green Card Holder(US PR) Y or N                
If you are a US PR, Alien Registration No:      
Permanent Address line 1*:                             
Perm. Address line 2(if needed):                      
Perm. City*:                                                    
Perm. State*:                                                  
Perm. Zip Code*(5 digits):                             
Current Country:                                             
Current Address Line 1:                                  
Cur. Address Line 2(if needed):                       
Cur. City:                                                        
Cur. State:                                                       
Cur. Zip Code(5 digits):                                   
Cur.Address Date until(mm/dd/yyyy):               
Level Of Study*:                                               
Start Term*:                                                     
Intended Major at HGU*:                                
How did you hear about HGU?*:                     
Current/Recent College Name:                         
College Country:                                              
College City:                                                    
College State:                                                                                                   
GPA:                                                                
Credits Completed:                                           
 Degrees Completed: