| First Name*
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| Middle Name
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| Last Name*
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| Nickname
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Date of Birth (mm/dd/yyy)* |
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Gender (For
Housing Purposes):
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Male
Female
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| Ethnic Group
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Not Selected
American Indian
Black, African American
Hispanic
Asian or Pacific Islander
White
Multiracial
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| Address 1* |
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| Address 2 |
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| City* |
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| State* |
No Selection Made
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
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| Zip Code* |
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| Country* |
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Baker Island
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Hercegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina
Burma (Myanmar)
Burundi
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Coral Sea Islands
Costa Rica
Cote D Ivoire
Croatia
Cuba
Cyprus
Czechoslovakia
Czeck Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Estonia
Estonia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Juan de Nova Island
Kampuchea
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Helena
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Trust Territory of Pacific Islands
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
Union of Soviet Socialist Republics
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuata
Vatican City
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Western Samoa
Yemen (Aden)
Yemen (Sanaa)
Yugoslavia
Zaire
Zambia
Zimbabwe
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| Phone Number*
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| E-Mail Address* |
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| Contact Name* |
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| Relationship to
Applicant* |
Parent
Guardian
Spouse
Other
|
| Phone Number* |
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Your Intended Major
at
the University of Georgia* |
Undecided Major
Accounting
Advertising
African American Studies
Agribusiness
Agricultural Communication
Agricultural Economics
Agricultural Education
Agricultural Engineering
Agriscience and Environmental Systems
Animal Health
Animal Science
Anthropology
Applied Biotechnology
Art-Ceramics
Art-Drawing
Art-Fabric Design
Art-Graphic Design
Art-Interior Design
Art-Jewelry and Metalwork
Art-Painting
Art-Photography
Art-Printmaking
Art-Sculpture
Art-Studio Art
Art/Art Education
Art/Art History
Avian Biology
Biochemistry and Molecular Biology
Biological Engineering
Biological Science
Biology
Broadcast News
Business Education
Cellular Biology
CFD/ECE: Prekindergarten - Grade 2 Emphasis
Chemistry
Child and Family Development
Classical Culture
Cognitive Science
Communication Sciences and Disorders
Comparative Literature
Computer Science
Consumer Economics
Consumer Foods
Consumer Journalism
Criminal Justice
Dairy Science
Dance
Dietetics
Drama
Early Childhood Education
Ecology
Economics
English
English Education
Entomology
Environmental Chemistry
Environmental Economics and Management
Environmental Health
Environmental Soil Science
Exercise and Sport Science
Family and Consumer Sciences Education
Fashion Merchandising
Film Studies
Finance
Fisheries and Aquaculture
Food Science
Foreign Language Education
Forest Environmental Resources
Forestry
French
Furnishings and Interiors
Genetics
Geography
Geology
German
Germanic and Slavic Languages
Greek
Health and Physical Education
Health Promotion and Education
History
Horticulture
Housing
International Business
Italian
Japanese Language and Literature
Landscape and Grounds Management
Landscape Architecture
Latin
Linguistics
Magazines
Management
Management Information Systems
Marketing
Marketing Education
Mathematics
Mathematics Education
Microbiology
Middle School Education
Music
Music Composition
Music Education
Music Performance
Music Theory
Music Therapy
Newspapers
Nutrition Science
Philosophy
Physics
Physics and Astronomy
Plant Biology
Plant Protection and Pest Management
Political Science
Poultry Science
Psychology
Public Relations
Publication Management
Real Estate
Recreation and Leisure Studies
Religion
Risk Management and Insurance
Romance Languages
Russian
Science Education
Social Science Education
Social Work
Sociology
Spanish
Special Education
Speech Communication
Sport Studies
Statistics
Studio Art
Technological Studies
Telecommunication Arts
Turfgrass Management
Wildlife
Women's Studies
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