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SRU510B ADD STUDENT DATA, PRESS ENTER
U N D E R G R A D U A T E A P P L I C A T I O N Page 2 2.0004
XXXXXXX 000018235 000-00-XXXX ACTION: C (Chg Find New Retrn) 5/03/10 11:01
JULIUS,THE CAT 10/01/1920
QTR/YR: SPR/2005 NO: 1 OF 1 RANK: 0/ 0 0%
RECENT YR DEPENDENT:_ YEAR:____ GROSS ANNUAL INCOME:$______ FAMILY SIZE:__
PREV YEAR DEPENDENT:_ YEAR:____ GROSS ANNUAL INCOME:$______ FAMILY SIZE:__
FATHER / LEGAL GUARDIAN: NAME : ______________________________
PHONE: (___)___-____
SAME AS MAILING:_ (Y/N) ADDR : ______________________________
SAME AS PERM.: _ (Y/N) : ______________________________
CITY : ______________________________ST:__ _____-____
COUNTRY: ________________________________________ POSTAL: __________
WA RESIDENT:_ FROM:__/____ TO:__/____
ED LEVEL:_ UW ALUM:_ INFO RELEASE: _
MOTHER / LEGAL GUARDIAN: NAME : ______________________________
PHONE: (___)___-____
SAME AS MAILING:_ (Y/N) ADDR : ______________________________
SAME AS PERM.: _ (Y/N) : ______________________________
USE AS PARENT: _ (Y/N) CITY : ______________________________ST:__ _____-____
COUNTRY: ________________________________________ POSTAL: __________
WA RESIDENT:_ FROM:__/____ TO:__/____
ED LEVEL:_ UW ALUM:_ INFO RELEASE: _
E-MAIL: cjulius@university.com DATE: 3/28/02
The information requested in the bolded areas needs to be entered. If the parental address was entered on screen one, only a Y needs to the entered in the 'SAME AS MAILING' field. If a student is independent from his parents or does not enter enough information regarding their income, this information may be omitted.
SRU510B ADD STUDENT DATA, PRESS ENTER
U N D E R G R A D U A T E A P P L I C A T I O N Page 2 *L*
0000000 000645167 XXX-XX-2695 ACTION: C (Chg Find New Retrn) 11/12/98 14:06
XXXXXXX,LUCUIS 02/05/1981
QTR/YR: AUT/2007 NO: 1 OF 1
RECENT YR DEPENDENT:Y YEAR:2005 GROSS ANNUAL INCOME:$035000 FAMILY SIZE:06
PREV YEAR DEPENDENT:Y YEAR:2006 GROSS ANNUAL INCOME:$038000 FAMILY SIZE:06
FATHER / LEGAL GUARDIAN: NAME : SMITH,JOHN
PHONE: (XXX)XXX-1262
SAME AS MAILING:_ (Y/N) ADDR : 2345 ST CLAIRE DR
SAME AS PERM.: _ (Y/N) : ______________________________
CITY : SEATTLE ST: WA 98XXX-XXXX
WA RESIDENT:Y FROM:05/1947 TO:06/1997
ED LEVEL:5 UW ALUM:Y INFO RELEASE: Y
MOTHER / LEGAL GUARDIAN: NAME : JONES,JANET
PHONE: (XXX)XXX-1262
SAME AS MAILING:_ (Y/N) ADDR : 2345 ST CLAIRE DR
SAME AS PERM.: _ (Y/N) : ______________________________
USE AS PARENT: _ (Y/N) CITY : SEATTLE ST: WA 98XXX-XXXX
COUNTRY: _______________________________________________POSTAL:_____________
WA RESIDENT:Y FROM:05/1945 TO:06/1997
ED LEVEL:6 UW ALUM:Y INFO RELEASE: Y
email: johnsmith@yahoo.com DATE: 10/10/96
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