Enrollment

Online Application
STUDENT: Once you have completed the admissions process, you will receive instructions on completing your registration online and will be contacted by an online advisor.

Fields with an asterisk (*) are required.

PLEASE READ EACH QUESTION CAREFULLY WHILE COMPLETING THIS FORM.

Part A - Admissions Status

* Application Semester:
* Application Type:
* Please select your major:		Biology (B.S.)
		Business Entrepreneurship (B.S.)
		Child Development and Family Services (B.A.)
		Criminal Justice (B.S. & M.A.)
		Curriculum and Instruction (M.Ed)
		Early Childhood Education (B.S. & Certification)
		Elementary Education (B.S.)
		General Studies (B.G.S.)
		Management Information Systems (B.S. & M.S.)
		Health Information Management Systems (B.S.)
		Museum Studies (M.A.)
		Psychology (B.A.)
		Public Administration (B.A.)
		Sociology (B.A.)
		Social Studies Education (B.A.)
		Social Work (B.S.W. & M.S.W.)
		Substance Abuse (A.A. & B.S.)
		Undecided

	Seminars
		Alumni Registration (Special Course)

* Are you interested in obtaining an Online Degree?			Yes No
* Are you interested in enrolling in Online Courses?			Yes No
* Reason for Applying:

Part B - Personal Information

* First Name:
Middle Name:
* Last Name:
* Suffix:
* SSN:		(No dashes)
* Date of Birth:
* Gender:		Male Female
* Phone:		(please include the area code)
Cell Phone:		(please include the area code)
* Email:
Alternate Email:
Place of Birth (if not US)
Marital Status:
* Residency Status:
* Ethnic Origin:
* Address Information	Permanent Home or Mailing Address:			Local Address:
Street 1
Street 2
City
State
Zip
Country
Visa (International Students Only)
Visa Expiration Date
* Emergency Contact Name
* Relationship:
* Telephone Number:
* Emergency Contact Address		Street 1
	Street 2
	City
	State
	Zip
	Country
* Did your parent, guardian, or spouse graduate from Southern University at New Orleans?			No Yes
	If yes, what year did they graduate?
	Name:

Part C - Educational Data

* High School :

* High School Graduation Date:

* Have you previously attended Southern University at New Orleans?

Yes No

If yes, did you graduate?

Yes No

If yes, what year did you graduate?

Have you attended a college since you left SUNO?

Yes No

* What is your highest level of education?

* Are you currently attending a college or university?

Yes No

If "Yes," please state the name of the college or university.

* What was the last year you attended school?

Previous Academic Institution # 1
School Name:
City and State:
Ending date of Attendance (yyyymmdd):
Degree Earned:

Previous Academic Institution # 2
School Name:
City and State:
Ending date of Attendance (yyyymmdd):
Degree Earned:

Previous Academic Institution # 3
School Name:
City and State:
Ending date of Attendance (yyyymmdd):
Degree Earned:

Previous Academic Institution # 4
School Name:
City and State:
Ending date of Attendance (yyyymmdd):
Degree Earned:

Previous Academic Institution # 5
School Name:
City and State (if not listed above):
Ending date of Attendance (yyyymmdd):
Degree Earned:

Part D - Additional Information

* Are you interested in Financial Aid?

Yes No

* Primary reason you are interested in pursing a course/degree online?

* This degree program will assist me in:

* Are you currently employed?

Yes No

If "Yes," what type of position do you hold?

* Do you have a computer at home?

Yes No

If "Yes," what type of computer do you own?

* Do you have a computer at work?

Yes No

If "Yes," what type of computer do you use?

* I will be accessing my course(s) from:

* What type of computer user do you consider yourself?

* How do you access the Internet?

* How did you find out about the SUNO Online Degree?

Note: If you are interested in enrolling in an online course or program, please complete steps 1-6 below.

Part E - Online Degree Quick Orientation

Step 1. I have the knowledge and equipment necessary to take an online course.

Step 2. I must have a valid, personal email account and the ability to send and receive attachments.

Step 3. My online course will be available . . .

SUNO Online, Fall 2009 online courses begin August 24, 2009 and run through December 4, 2009. My online course will be available August 24, 2009.

SUNO Online, Spring 2010 online courses begin January 11, 2010 and run through April 30, 2010. My online course will be available January 11, 2010.
Dates are subject to change

Step 4. My instructor will not contact me first. I must log in to my class and contact my instructor.

Step 5. SUNO does not provide computer, modem, software or ISP technical support.

Step 6. For technical support, if I am unable to log on to my class

as an SUNO Online student, I may call the Help Desk toll free @ (866) 749-1954. For questions or comments, please e-mail Help Desk.
as a SUNO Online student, I may call the SUNO 24/7 Help Desk toll free @ 1-866-749-1954. I will need to have the information listed in the Technical Support section of the Online Orientation and will be at my computer when I call.

Comments:

By submitting this application, I do hereby authorize Louisiana Public Post-Secondary Education access to my academic records.

Note: Information is processed through a secure server.

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