APPLICANT INFORMATION > DEMOGRAPHICS > ETHNICITY 2 > HIGH SCHOOL/GED INFORMATION > TESTS TAKEN > PARENT CONTACT INFORMATION > FERPA RELEASE > SECURITY QUESTIONS
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APPLICANT INFORMATION: Applicant information such as contact, personal and admissions information.
Legal Name
Last
First

Middle
Maiden (if married)


Permanent Mailing Address
Street Address
PO Box

City
State / Province

Postal Code


Contact Information
Cell Phone Area Code
Phone Number
 (while attending Jacksonville college)

Home Phone Area Code
Phone Number

Email Address


Personal Information FORMAT: xxxxxxxxx [no dashes]
Social Security/Government ID
Date of Birth
 
(mm/dd/yyyy)

Country of citizenship


Admissions Information
Term to begin study


    required and     optional