Section 1: Personal Information

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Current Address and Contact Information

Last Name: *

First Name: *

Gender: *

Country: *

State:

City: *

Street: *

Apt #:

Zip/Postal Code: *

Home Phone #:

Cell Phone #: *

Emergency Contact Information

Your Application Background

Ethnicity:

Other Ethnicity:

Country of Citizenship: *

Select your nationality, if you are a US citizen, your application will default to the English application. However, if you are a Chinese citizen attending a U.S. university, you can choose Chinese or English application form.

“国家”请选择你的国籍，如果为中国公民，您的申请将默认为中文申请书；如果您是在美国上大学的中国公民，请在“国家”栏选择“中国”.

Are you attending a university within the United States?

否／是在美国大学上学吗？

Attending US University

Application Choice:

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Application Details

Section 1: Personal Information