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Nicholls State University - Banner Self Service

 

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Information Please enter the requested information. Please note that an asterisk denotes required information.

Required - indicates a required field.
Prospect Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Information Please complete the section below using your Primary Mailing address. Submitting this information will allow us to mail you any information and correspondence which you request.

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Information Please submit any additional phone numbers you would like for us to have on file.

Additional Telephone Numbers
Telephone Type:Required
Phone Number:Required - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:
Telephone Type:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:
Telephone Type:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

Information Please submit your social security number (if you have one) below. Submitting this information will assist in linking your academic records together (ACT scores, Financial Aid Information, etc). Please note that this is a secure website.

Prospect SSN/TIN/TFN
U.S. Social Security Number: (999999999 or 999-99-9999)

Prospect Gender
Gender:Required Male Female Not Specified

Information Colleges and universities are asked by many, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to answer the following questions:

Prospect Ethnicity/Race
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

Note Select one or more races to indicate what you consider yourself to be.

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Alaskan Native/American Indian
Asian
Black/African American
Native Hawaiian/Pacific Island
White

Information Please select the term in which you plan on starting taking classes at Nicholls State University.

Prospect Entry Term
Term of Entry:Required

Information Please add your high school information below. First, please click on ?Look up High School Code?. Follow the instructions on the screen in order to find your high school name and all other information will be entered into the fields automatically.

Please estimate information such as graduation date, class rank and size, as well as GPA.

Prospect High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:Required
Address Line 1:
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

Information Please submit information on any previous college that you attended. If you attended more than one college, please list your most recent information. In order to enter the information, please click ?Look Up College Code? and follow the instructions on the screen in order to find your college name and all other information will be entered into the fields automatically.

Prospect Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

Information Please select from the dropdown below the category that best describes you.

Prospect Student Type
Student Type:Required

Information Please select from the dropdown the major that you are most interested in.

Prospect Major
Major:Required

Information Please select from box below any activities or interests that you would like to join in college. To select multiple materials use CTRL + Click for PC and Command + Click for Mac.

Prospect Interests
Interests:

Information Please select from the box below how you learned about Nicholls State University. To select multiple items, use CTRL + Click for PC and Command + Click for Mac.

How Prospect Learned About Us
How I Learned About Nicholls State University - Banner Self Service:

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