Required fields are noted with an asterisk (*)
First Name *
Middle Name *
Last Name *
Date of Birth * January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Sex * Male Female
Enrollment Term Beginning * Fall Spring Summer 2007 2008 2009 2010
HSU-ID Number: Enter only numbers - no punctuation.
Name of Parent/Guardian *
Your Home Phone Number * Enter only numbers - no punctuation.
Your Email Address
Street Address *
City *
State *
Zip *
Country *
Your class standing when you arrive on campus * Freshman Sophomore Junior Senior Graduate Other
If "other" please describe.
Are you currently living on the Humboldt State campus? * Yes No
Have you previously lived on the Humboldt State campus? * Yes No
Have you attended Humboldt State before? * Yes No
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