Page 1 : Personal Information | Graduate and Professional Admissions Application

JavaScript is disabled in your browser.

This application requires JavaScript in order to work. Please enable your browser's JavaScript or use another computer.

Errror message

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Quod sed est voluptas ab. Dolorum quia suscipit perferendis esse amet soluta sed fuga in excepturi blanditiis numquam aut, impedit facilis eos!

Basic Information help

RUID, if you have one:

RUID, a unique 9 digit Rutgers identification number, using "00" in the 4th and 5th number positions. It is used for administrative purposes and to access facilities and services (except where SSN is functionally required).

130006952

SSN, if you have one:

First (Given) Name:

Middle Name:

Last (Family/Surname) Name:

Suffix:

Other Last Name:

Date of Birth:

Sex: Male Female Other

Background Information help

Are you Latino/Hispanic? Yes No

If yes, please check one which best applies to you: Puerto Rican Other Latino Please also check all that apply below: Native Hawaiian or Pacific Islander White Black or African American Asian American Indian or Alaska Native

I come from an economically disadvantaged background

Permanent Address help

Street Address:

Address (continued):

City/Province:

State:

NJ County:

ZipCode:

Country:

My current mailing address is different from my permanent address

Current Mailing Address (if different from permanent) help

Street Address:

Address (continued):

City:

State:

NJ County:

Zip Code:

Country:

Valid until:

Contact Information help

Home Phone:

Cell Phone:

Cell Phone Provider:

Business Phone:

International Phone:

Fax Number:

E-mail Address:

Confirm E-mail Address:

Military Information help

Are you a veteran of the UnitedStates military? Yes No

Do you plan to apply for educational benefits under the GI Bill for you or a family member? Yes No

Are you enrolled in the Advanced Civil Schooling(ACS) program for Active Duty military? Yes No

Have you ever served on active duty in the U.S. Armed Forces, military Reserves,or National Guard?

Active duty does not include training for the reserves, National Guard, or ROTC, but DOES include activation, for example, for the Persian Gulf War, or the wars in Afghanistan and Iraq.

No. I have never served in the U.S. Armed Forces, military Reserves, NationalGuard, or ROTC. No. I am/was a member of theReserves, National Guard, or ROTC, but I havenever served on active duty. Yes. I am a veteran of U.S.Armed Forces (e.g. Air Force, Army, Marines,Navy). Yes. I am an active duty memberof the U.S. Armed Forces (e.g. Air Force, Army,Marines, Navy). Yes. I am/was a member of theReserves or National Guard who served active duty(e.g. Persian Gulf War, Afghanitstan,Iraq).

Other Information help

Have you ever been placed on academic probation, been suspended, or dismissed for any reason from any college or university? Yes No

Have you ever been convicted of a felony? Yes No

Do you have any pending disciplinary action or have a case before the courts which may result in a suspension, dismissal or conviction as noted above? Yes No

If you have answered yes to any of these three questions, please enter below the approximate date of each incident and an explanation of the circumstances: Fewer than characters

Graduate and Professional Admissions Online Application » Dashboard » 2016 Application » Personal Information