1. Last Name
2. First Name
3. Year Classification
4. LSU ID:
5. Major(s)
6. Minor(s)
7. Street/ Mailing Address
8. City
9. State
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
10. Zip Code
11. Phone Number
12. E-mail Address
13. Overall GPA
14. LSU System GPA
15. Anticipated Date of Graduation
16. Resident of Louisiana
Yes No
17. Citizen of Unites States
Yes No
18. Applying for General Studies
Yes No
19. Out of State (Non-resident of Louisiana)
Yes No
20. Scholarships:
List financial aid received while at LSU. Include
the annual value of the assistance, the periods held, and whether this year’s sources are renewable.
21. Grants:
List financial aid received while at LSU. Include
the annual value of the assistance, the periods held, and whether this year’s sources are renewable.
22. Special Work Programs
(e.g., Chancellor’s Student Aide, Federal Work-Study, etc.):
List financial aid received while at LSU. Include
the annual value of the assistance, the periods held, and whether this year’s sources are renewable.
23. List all other academic awards, honors, or prizes.
24. List jobs held during college career, including summers.
(Descriptive title, employer, dates of employment, average number of hours worked per week should all be included.)
25. List all LSU and/or community activities in which
you’ve been involved.
26. Statement of academic goals (maximum 250 words)
27. Statement of financial need (maximum 150 words).
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