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Personal Information

Please enter your name exactly as it appears on your passport and/or other official documents.

Gender
Birth Date
Social Security Number
(Required if you plan on filing the FAFSA [Free Application for Federal Student Aid]. U.S. citizens/permanent residents only.)

Ethnicity

Are you Hispanic or Latino?

Please select one or more of the following races:

Citizenship

Citizen Type

Permanent Address

Home Phone Number
Cell Phone Number
Is your current mailing address the same as above?

Your Family Information

Please only enter information for parents who are still living.

Has any parent or guardian attended college?

Parent/Legal Guardian 1

Is this parent's or guardian's address the same as yours?
Home Phone Number
Cell Phone Number

Parent/Legal Guardian 2

Is this parent's or guardian's address the same as yours?
Home Phone Number
Cell Phone Number
Do you have a parent or guardian who is a full-time rostered, professional Lutheran church worker?

Legacy Information

Do you have any relatives who have attended, or are attending, Valparaiso University?

Sibling Information

Please provide the following information about your siblings.