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First Name
Last Name
Seton Hall Student ID#
Home Address
Home Address
Country
Street
City
Region
Postal Code
Phone Type
Phone Type
Mobile Phone
Primary Phone
Phone Number
Email Address
Date of Birth
Date of Birth
January
February
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1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
Gender
Female
Male
Are you a citizen or permanent resident of the United States?
Are you a citizen or permanent resident of the United States?
Yes
No
Race/Ethnicity (select all that apply)
Race/Ethnicity (select all that apply)
American Indian/Alaskan Native
Asian
Black or African American
Hispanic / Latino/x
Native Hawaiian / Pacific Islander
White/ Caucasian
Other
Did you and/or your parents file income taxes last year?
Did you and/or your parents file income taxes last year?
Yes
No
Total number of family members in your household (including yourself)
1
2
3
4
5
6
7
8
Please select the box that best approximates the taxable income of all family members for tax year 2022-2023
Please select the box that best approximates the taxable income of all family members for tax year 2022-2023
$0 - $19,140
$19,141 - $25,860
$25,861 - $32,580
$32,581 - $39,300
$39,301 - $46,020
$46,021 - $52,740
$52,741 - $59,460
$59,461 - $66,180
$66,181+
Have either of your parents/guardians received a bachelor's degree in the U.S.?
Have either of your parents/guardians received a bachelor's degree in the U.S.?
Yes
No
Do you have a physical, psychological or learning disability?
Do you have a physical, psychological or learning disability?
Yes
No
Prefer not to say
What is your current major or intended major of study?
Accounting (3+2 B.S./M.S. dual degree)
Accounting (B.S.)
Africana Studies (B.A.)
Anthropology (B.A.)
Applied Artificial Intelligence (3+2 B.S./M.S. dual degree with Stevens)
Art History (B.A.)
Art History (B.A./M.A. with Museum Professions dual degree)
Art, Design, and Interactive Multimedia (B.A.)
Asian Studies (B.A.)
Athletic Training (3+2 B.A. in Biology/M.S. dual degree)
Athletic Training (3+2 B.A. in Interprofessional Health Sciences/M.S. dual degree)
Athletic Training (3+2 B.S. in Biology/M.S. dual degree)
Biochemistry (B.S.)
Biology (B.A.)
Biology (B.S.)
Broadcasting (Visual and Sound Media) (B.A.)
Business & Law (3+3 program)
Business - Undecided (B.S.)
Business Administration (B.A.)
Business Analytics (B.S.)
Business/M.B.A. (3+2 B.S./M.B.A. or B.A./M.B.A. dual degree)
Catholic Studies (B.A.)
Catholic Theology (B.A.)
Catholic Theology (Philosophy Track) (B.A.)
Chemical Engineering (3+2 B.S./M.S. dual degree)
Chemistry (B.S.)
Civil Engineering (3+2 B.S. dual degree)
Cognitive and Behavioral Neuroscience (B.S.)
Communication (B.A.)
Communication (Dual B.A./M.A.)
Communication and the Arts - Undecided (B.A.)
Computer Engineering (3+2 B.S. dual degree)
Computer Science (B.S.)
Conflict Resolution, International Relations (B.S.)
Creative Writing (B.A.)
Criminal Justice (B.A.)
Data Science (3+2 B.S. in Computer Science/M.S. dual degree)
Data Science (3+2 B.S. in Mathematics/M.S. dual degree)
Data Science (3+2 B.S. in Physics/M.S. dual degree)
Digital Journalism (B.A.)
Diplomacy and International Relations & Law (3+3 program)
Diplomacy and International Relations (3+2 B.S./M.A. dual degree)
Diplomacy and International Relations (B.S.)
Diplomacy and Law (B.S.)
Drama (B.A.)
Economics - Arts & Science (B.A.)
Economics - Business (B.S.)
Education (Elementary with Special Education) (B.S.E.)
Education (Secondary with Special Education) (B.S.E.)
Education (Secondary) (B.S.E.)
Electrical Engineering (3+2 B.S. dual degree)
Elementary Education (integrated with Special Education) (B.S.E.)
Engineering (3+2 B.S. in Physics/M.S. Applied Engineering)
Engineering (3+2 B.S./M.S. dual degree Civil, Construction, Electrical, Mechanical or Ocean)
English (B.A.)
Entrepreneurship (B.S.)
Environmental Studies (B.A.)
Exercise Science, Interprofessional Health Sciences (B.S.)
Film Production/Film Editing (B.A.)
Finance (B.S.)
Finance and Technology (B.S.)
Financial Mathematics (B.S.)
Fine and Digital Art (B.A.)
Foreign Policy, International Relations (B.S.)
Forensic Accounting (B.S.)
French (B.A.)
Global Affairs, International Relations (B.S.)
Global Supply Chain Management (B.S.)
Graphic Design and Advertising (B.A.)
Health Admin and Management, Interprofessional Health Sciences (B.S.)
History (B.A.)
Industrial Engineering (3+2 B.S. dual degree)
Information Technology Management (B.S.)
Interactive Media/Game Design/Animation (B.A.)
International & Homeland Security (B.S.)
International Business (B.A.)
International Economics and International Relations (B.S.)
International Quantitative Economics and International Relations (B.S.)
International Relations and Diplomacy (B.S.)
Interprofessional Health Sciences (B.S.)
Italian (B.A.)
Journalism (B.A.)
Latin American and Latino/Latina Studies (B.A.)
Law & Arts and Sciences (3+3 program)
Law & Business (3+3 program)
Law & International Relations (3+3 program)
Law & Political Science (3+3 program)
Law & Religion (3+3 Program)
Law & Social Work (3+3 Program)
Law and Diplomacy (B.S.)
Law and Philosophy (B.A.)
Liberal Studies (B.A.)
Management (B.S.)
Marketing (B.S.)
Mathematical Finance (B.S.)
Mathematics (B.S.)
Media Studies/Film Studies (B.A.)
Medicine (Joint Bachelor's/MD Program)
Modern Languages (B.A.)
Molecular Bioscience dual degree (3+2 B.S. in Biology/M.S. Molecular Bioscience)
Nursing (Accelerated Second Degree B.S.N. - on campus)
Nursing (Accelerated Second Degree B.S.N. at Georgian Court)
Nursing (B.S.N.)
Occupational Therapy (3+2 B.A./M.S. dual degree)
Performing Arts (B.A.)
Pharmaceutical Business, Interprofessional Health Sciences (B.S.)
Philosophy and Law (B.A.)
Philosophy (B.A.)
Physical Therapy (3+3 B.S./D.P.T. dual degree)
Physician Assistant (B.S. with M.S. candidacy)
Physics (B.A.)
Physics (B.S.)
Political Science & Law (3+3 program)
Political Science (B.A.)
Psychology (B.A.) (Traditional Psychology Major)
Psychology (B.S.) (Science/Math Focus)
Public Relations (B.A.)
Quantitative Economics and Econometrics (B.S.)
Religion & Law (3+3 Program)
Religion (B.A.)
Reputation Management (B.A.)
Secondary Education (B.S.E.)
Secondary Education (integrated with Special Education) (B.S.E.)
Social and Behavioral Sciences (B.A.)
Social Work & Law (3+3 Program)
Social Work (B.A.)
Sociology (B.A.)
Sound Production and Engineering (Music) (B.A.)
Sound Production and Engineering (Visual and Sound Media) (B.A.)
Spanish (B.A.)
Special Education (integrated with Elementary Education (B.S.E.)
Special Education (integrated with Secondary Education) (B.S.E.)
Special Education/ABA (4+1 in Elementary Education/M.A. dual degree)
Speech Communication (B.A.)
Speech-Language Pathology (4+2 B.A. Psychology/M.S. dual degree)
Speech-Language Pathology (4+2 B.S. Psychology/M.S. dual degree)
Speech-Language Pathology (4+2 in Elementary Education/M.S. dual degree)
Sport Management (B.S.)
Sports Media (B.A.)
Television Production/Sports Broadcasting (B.A.)
Theatre (B.A.)
Undecided
Visual and Sound Media (Broadcasting) (B.A.)
Wealth Management (B.S.)
Seton Hall Programs you have ever participated in
Seton Hall Programs you have ever participated in
Educational Opportunity Program
Pre-Med/Pre-Dent Plus Program
Upward Bound
None
Other
What types of services would help you successfully reach your academic goals? (Select all that apply)
What types of services would help you successfully reach your academic goals? (Select all that apply)
Academic Advising
Academic Tutoring
Academic Coaching
Career Exploration
Cultural Enrichment Activities
Financial Aid Advising
Financial Education Literacy
Graduate/ Professional School Preparation
Leadership Opportunities
Peer Mentoring
Scholarship Advisement
Study Skills Workshops
Other:
Seton Hall Student Support Services (SSS) Program provides individualized services addressing specific needs of students as they confront challenges while pursuing a college certificate or degree. The SSS program is funded by the U.S. Department of Education and Seton Hall University. I certify that the information I have provided on this application is true and complete to the best of my knowledge. I understand that if found that I have intentionally misrepresented myself, it is sufficient cause for dismissal from the Student Support Services Program. If additional documentation is required, I agree to furnish it to an authorized college official in a timely manner. I understand that SSS staff at Seton Hall University will utilize the information provided to assess my academic, career, and financial aid planning needs. I understand this information will be used in strict confidence. I give my permission to release information that will assist SSS staff in the ongoing evaluation of my academic endeavors. I acknowledge that SSS staff will assist me in achieving my academic goals only if I fulfill my obligations as agreed upon by SSS staff and myself.
Do you agree to the above consent statement? Selecting "yes" will serve as your signature for this application.
Do you agree to the above consent statement? Selecting "yes" will serve as your signature for this application.
Yes
No
Note: By submitting this form, you agree to receive mobile text messages from us related to event registration and other important information. Contact us at thehall@shu.edu if you do not wish to receive text messages.
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