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WashU Student ID

First Name

Preferred Name

Middle Name

Last Name

Maiden Name (if now married)

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Primary Citizenship

Dual Citizenship

Permanent Resident

Birth Country

Birth State

Birth City

Do you have an F-1 Visa?

Yes

No

Phone Number

Email Address

Gender

Add another gender

While we will not use race/ethnicity as part of the admissions process, you have the option to share it. If you choose to provide this information, we are required to report this information to the federal government to remain in compliance.

Are you Hispanic or Latino? (OPTIONAL)

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member: