FALL 2008 LOBO CAMP FRESHMAN ORIENTATION REGISTRATION FORM
State law requires that you be informed of the following:
(1) you are entitled to request to be informed about the information about yourself collected by use of this form
(with a few exceptions as provided by law); (2) you are entitled to receive and review that information; and(3) you are entitled to have the information corrected at no charge to you.
General Information
First Name: MI: Last Name:
Age: Sex:
Male
Female
Address: City:
State: Zip:
Email: Phone:
Admissions Information
Expected Major:
Will you need an accomodation for a disability?Yes No
If you answered "Yes", please specify the type of accomodation(s) needed.
Is your admissions file complete?
If no, what item(s) do you need to complete?
Final High School Transcript
College Transcript(s) SATACT
If you selected "College Transcript", please specify missing college/university name:
Please note: All items must be on file prior to attending Orientation.
If you selected SAT or ACT, specify the date you are registered to take the test:
Have you completed all testing for Texas Success Initiative requirement (THEA/COMPASS/ACCUPLACER)?
Yes
No
Will you be living in the Sul Ross State University Residential Living? Yes No
Have you completed your application for residential living? Yes No
(Please verify with the Residential Living Office at (432) 837-8190.)
Will you have Family Members attending Orientation?
An additional amount of $35.00 per family member should be submitted with orientation fee.
Yes
No
If you selected "Yes", please enter the number of family members you expect to attend.
Please list all family members' names attending orientation:
Family Members' Names
Credit Card Approval
I will be paying with Check or Money Order Credit Card
CREDIT CARD AUTHORIZATION:
I authorize Sul Ross State University to charge the specified fee to my credit card account.
Select one: Visa Master Card
Card holder's name:
Last: First: MI:
Name as seen on credit card:
Your credit card number will only be seen by the staff responsible for processing this form. We will not store your card number and information. This page is a secure web page and is using encryption algorithms to protect the transmission of sensitive information.
Card Number: Exp. Date:
Mailing Address: City:
State: Zip:
NOTE: If paying by check or money order, make it payable to Sul Ross State University in the amount of $100.00 plus $35 for each family member attending orientation
and mail to:
New Student Orientation
Sul Ross State University
BOX C-121
Alpine, Tx 79832
Certification: By submitting this form, you are certifying that the information in this registration is true and correct, and if you attend the Orientation you have registered for you will attend Sul Ross State University for the 2008-2009 academic year. I understand that if I do not attend orientation, I will not be allowed to register until late registration with penalty and fees.
Non-Discrimination Statement: No person shall be excluded from participation in, denied the benefits of or be
subject to discrimination under any program or activity sponsored or conducted by Sul Ross State University, on any
basis prohibited by applicable law, including, but not limited to, race, color, national origin, religion, sex, age or
disability.