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Student Information

Student First Name

Preferred/Chosen First Name

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*The University of Texas at Austin will use your preferred first name (not first name) in many communications. This includes communication that may be sent to you, your parent/guardian or admissions counselors and staff regarding your profile. Please utilize a preferred name you are comfortable with being addressed by with these audiences. If you do not indicate a preferred first name, it will default to your first name on file.

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Student Last Name

Birthdate

Gender

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Are you Hispanic or Latino?

Please indicate how you identify yourself. Select as many as apply.

Is Spanish the primary language spoken in your home?

Would your family prefer to receive information in Spanish?

Student Contact Information

Student Email Address

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Primary Phone Number

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Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Academic Interests

I'm interested in applying as a:

I'm interested in applying to UT Austin for:

My primary academic interest is:

I'm also interested in:

What is your primary instrument?

What is your Theatre & Dance emphasis?

School Information

Enter the high school or college you currently attend (or most recently attended).

Enter "Home Schooled" if you are home schooled.

School Code

My current high school class rank is:

Parent & Family Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relation

Parent/Guardian Email Address

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