ࡱ> []Z] bjbj:/:/ 4"XEbXEb 4$#XXXXX333o#q#q#q#q#q#q#$$'v#33#XX# XXo#o#V;"@"Xsv{" [##0#"x(RH("("\3h-TQ333##4333#(333333333B :  FAMILY FINANCIAL PLANNING PROGRAM APPLICATION NORTH CAROLINA A&T STATE UNIVERSITY Personal Information Date ________________________________________ Social Security No. __________________________________________________________________________________ Legal Name ________________________________________________________________________________________ (Last) (First) (MI) Former Name (if applicable)________________________________________________________________________ Current Address P.O. Box or Street ___________________________________________________________________________________ City, State, Zip ____________________________________________ NC County of Residence ____________________ Home Phone No. ( )______________________________Email __________________________________________ 4. Birth Date __________________________ 5. Gender __________________________________________________ 6. Race (used for reporting purposes only). Check One. _____ Black ____ Hispanic ____ Asian ____ Native American_____ Caucasian____ Other 7. Are you a citizen of the United States? __________ Yes __________ No If no, permanent resident # ________________or VISA type ____________________ Native Country _____________ B. Prior Education Name of High School and Date of Graduation ____________________________________________________________ Name of previous college and dates ____________________________________________________________________ Do you have a college degree? Yes ___________ No ___________ Type __________ Institution __________________________________________________________ Year _______ 4. Have you previously enrolled at A&T? Yes ____No ____ If yes, semester_________________ Year _________ C. Current Employment Employed by ______________________________________________________________________________________ Employers Address_________________________________________________________________________________ Work Phone ( ) ___________________________________ Email_________________________________________ D. Other Information 1. Preferred semester & year of enrollment: Fall_______ Spring_________ Summer________ 20_______ 2. Do you have access to a computer and the Internet? Yes ________ No ________ 3. Have you ever completed an online course? 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