1.
NAME
Last Name / Family Name *
Given Name (First) *
Given Name (Middle)
Suffix
2.
Please enter your MAILING ADDRESS in the
format used by your country to ensure prompt, accurate delivery of international
mail
Address *
Address
Address
City
State or Province
SELECT Armed Forces Americas Armed Forces Europe Alaska Alabama Armed Forces Pacific Arkansas American Samoa Arizona Barbados (province) British Columbia California Colorado Connecticut Canal Zone District Of Columbia Delaware Florida Micronesia, Fed Sts Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri N Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Ontario Oregon Other States Pennsylvania Puerto Rico Palau Quebec Rhode Island South Carolina South Dakota Sk -Canada Tennessee Texas US Minor Outlying Is Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming
Zip Code
Country *
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
3.
Telephone Number
4.
E-mail Address
5.
Maiden name / former last name(s) used at other universities
Maiden name / former first name(s) used at other universities
Maiden name / former middle name(s) used at other universities
6.
Gender *
Male Female
7.
U.S. Social Security
(if applicable)
-
-
8.
I CURRENTLY HAVE A VISA TO STUDY IN THE UNITED STATES:
Yes No
If YES, please note type of visa and name of institution you are attending
and provide copies of your I-94, DS-2019 or I-20 and your passport and
visa.
9.
Date of Birth* (Month/Day/Year)
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Day
--
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year
--
1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921
10.
Country of Birth *
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
11.
Country of Citizenship *
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
12.
Country of Permanent Residence
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
13.
FAMILY CONTACT INFORMATION:
Please enter your family contact's name and mailing address
in the format used by your country to ensure prompt, accurate delivery information.
Relationship to you
Parent Spouse Guardian Other
If "other":
Last Name/Family Name
Given Name
Middle Name
Address
Address
Address
City
State or Province
SELECT Armed Forces Americas Armed Forces Europe Alaska Alabama Armed Forces Pacific Arkansas American Samoa Arizona Barbados (province) British Columbia California Colorado Connecticut Canal Zone District Of Columbia Delaware Florida Micronesia, Fed Sts Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri N Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Ontario Oregon Other States Pennsylvania Puerto Rico Palau Quebec Rhode Island South Carolina South Dakota Sk -Canada Tennessee Texas US Minor Outlying Is Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming
Zip Code
Country
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
Facsimile Number
Telephone
Email Address
14.
I will begin my studies at CCU*
Year:
--
2009 2010 2011 2012 2013
Fall Semester Spring Semester
15.
Enrollment Status *
(check one only)
First year freshman seeking bachelor's degree
Re-admit
Transfer student seeking a bachelor's degree
16.
I plan to live in university housing?
Yes No
17.
a. I plan a major in *
- SELECT ACC - Accounting ARTS - Art Studio BIO-E - Dual Degree Engineering - Biology/Engineering BIOL - Biology CHEM - Chemistry CHM-E - Dual Degree Engineering - Chemistry/Engineering COMMP - Communication CSC-E - Dual Degree Engineering - Computer Science/Engineering CSCI - Computer Science DRAM - Dramatic Arts ECEDP - Early Childhood Education ECON - Economics ELEDP - Elementary Education ENGL - English FIN - Finance HIST - History HLPR - Health Promotion MATHA - Mathematics - Applied MGEDP - Middle Grades Education MGT - Management MKT - Marketing MSCI - Marine Science MTH-E - Dual Degree Engineering - Mathematics/Engineering MUSIC - Music MUSTH - Musical Theatre PHEDP - Physical Education Teacher Education PHIL - Philosophy PHYSA - Physics - Applied PSCI - Political Science PSYC - Psychology RTM - Resort Tourism Management SOC - Sociology SPAN - Spanish SPEDP - Special Education - Learning Disabilities UGND - Undergraduate Non-Degree
b. With an option in
If applicable:
SELECT Accounting - Certified Management Accountant/Certified Financial Manager Accounting - Certified Public Accountant Computer Science - Information Systems Management - International Tourism Physical Education - Recreation and Sport Management Health Promotion - Sports Medicine Computer Science - Theoretical English - Technical and Professional Writing
c. Pre-Professional major:
If applicable:
SELECT Pre-Allied Health/Biology Pre-Dental/Biology Pre-Law/Political Science Pre-Medical/Biology Pre-Nursing/Biology Pre-Pharmacy/Chemistry Pre-Physical Therapy/Biology Pre-Theology/Philosophy Pre-Veterinary/Biology
18.
Re-admission
I previously attended Coastal Carolina University
Yes No
Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
Term
Fall Semester Spring Semester Maymester Semester Summer I Semester Summer II Semester
19.
Secondary School Graduated From:
Name of School
City
Country
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
Month and year of Graduation
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Did you receive a leaving certification?
Yes No
Month and year issued
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
20.
Have you taken or do you plan to take the
TOEFL (For non-native English speaking students)
Testing Date(s)
Date 1
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date 2
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date 3
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
SAT or ACT (For native English speaking students)
Testing Date(s)
Date 1
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date 2
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date 3
Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
21.
Have you ever attended other universities?
Yes No
1. Name of university
City
Country
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
Major
Number of credit earned
Dates Attended:
Date Entered: Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date Leaving: Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
2. Name of university
City
Country
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
Major
Number of credit earned
Dates Attended:
Date Entered: Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date Leaving: Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
3. Name of university
City
Country
SELECT Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Netherlands Antilles Argentina Armenia Aruba Ashmore & Cartier Austria Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan British Indian Ocean Territory Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkino Fasso Burma Burundi British Virgin Islands Cambodia Cameroon Canada Canal Zone Cape Verde Central African Republic Cayman Islands Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islasmalvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern&Antarctic Lnds Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea - Bissau Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Iraq-Saudi Arabia Neutral Zone Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Dem Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Mariana Islands Norfolk Island Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda South Africa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Spain Spartly Islands Sri Lanka Saint Christopher(Kitts)&Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu United Arab Emirates Uganda United Kingdom Ukraine Unknown Upper Volta Uruguay United States Union of Soviet Socialist Rep Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen, Republic of Yemen - Aden Yemen - Sanaa Yugoslavia Zaire Zambia Zimbabwe
Major
Number of credit earned
Dates Attended:
Date Entered: Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Date Leaving: Month:
--
01 02 03 04 05 06 07 08 09 10 11 12 Year
--
2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
22.
Community Standards*
In an effort to maintain a safe learning community, we must ask the following questions of all applicants. We cannot review your application for admission unless you answer these questions and provide the required documentation. Your "yes" answer to one or more of the following questions will not necessarily preclude your being admitted. However, your failure to provide complete, accurate and truthful information will be grounds to deny or withdraw your admission, or to dismiss you after enrollment. For the purpose of the following questions, "crime" or "criminal charge" refers to any crime other than a traffic-related misdemeanor or an infraction. You must, however, include alcohol or drug offenses whether or not they are traffic-related. If you answer "yes" to questions 1, 2, 3, 4, 5 or 6 below, you are required to provide your own written explanation of the event(s) and a statement from your legal representative summarizing the event(s) and the final disposition of your case. If you are/were not represented by legal counsel in connection with the event(s), in addition to your own written explanation, you must provide court records summarizing the event(s) and the final disposition of your case. Print your full name at the top of each page, and sign each page. All documentation must be mailed to the Office of Admissions.
22a.
Yes No
Have you been convicted of a crime?
22b.
Yes No
Have you entered a plea of guilty, a plea of no contest, a plea of "nolo contendere", or an Alford plea, or have you received a deferred prosecution or prayer for judgment continued to a criminal charge?
22c.
Yes No
Have you otherwise accepted responsibility for the commission of a crime?
22d.
Yes No
Do you have any criminal charges pending against you?
22e.
Yes No
Have you ever been dismissed, suspended (in-school or out-of-school), expelled, placed on probation, or otherwise subject to any disciplinary sanction by any high school, college or university? This may include, but is not limited to, academic cheating, conduct violations, or alcohol policy infraction? If you answer "yes", you are required to attach a statement from an appropriate school official corroborating your summary of event in addition to your own explanation of the event.
22f.
Yes No
If you have ever served in the military, did you receive any type of discharge other than an honorable discharge? If you have not served in the military, respond "No".
22g.
IF YOU HAVE BEEN SEPARATED FROM HIGH SCHOOL OR COLLEGE FOR MORE THAN SIX MONTHS OR ONE TERM, PLEASE EXPLAIN HOW YOU HAVE BEEN USING YOUR TIME.
23.
College plans: Which of the following best describe
your current plans for your college education? (check only one). Admissions
decisions are not based on your response; the information will be used
in designing academic programs.
I plan to pursue a degree on a full-time basis and graduate within four or five years. I plan to transfer to another institution at a later date. I am enrolled at another institution and plan to take one or more courses offered at Coastal Carolina University.
24.
I first learned about Coastal Carolina University From (check
the most appropriate):
25.
How can your educational experience at Coastal Carolina
University help you achieve your future goals?
By checking this box, I promise that should I enroll at
Coastal Carolina University, I will abide by all rules and policies of
the Code of Student Conduct and Academic Responsibility as outlined by
the University's Student Handbook.
I certify that all information provided is accurate and complete. I further
understand that falsification or failure to provide the correct information
may lead to disqualification of my application for admission to Coastal
Carolina University. *