Southern University and Agricultural and Mechanical College

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SUBR-SUSLA Connect Application

 
First Name
Middle Name
Last Name
Social Security Number
Address
City
State
Zip Code
Parish

(Louisiana Residents)
E-Mail Address
Cell Phone
Alternate Phone Number
Are you a U.S. Citizen?
Yes
No
Date of Birth
High School
Graduation Date
Gender
Male
Female
Anticipated Major
Are you planning to reside/live on campus
Yes
No