Student Data Portal Demographic Update Name * First Name Last Name Date of birth * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Race * Enter the number that matches your race below. 1 = White/Caucasian 2 = Black/African American 4 = American Indian or Alaska Native 5 = Asian 6 = Hawaiian Native or other Pacific Islander 7 = Multi-racial 8 = Other Disability status * Enter the number that matches your disability status below. 1 = Yes 2 = No Veteran status * Veteran Status Student served, but is not currently serving, on active duty in the U.S. Army, Navy, Air Force, Marine Corps, National Guard, or the Coast Guard. 1 = Yes 2 = No Prior education * Enter the number that matches your highest education level before enrolling in the program. 11 = Less than high school diploma 12 = GED 13 = High school graduate 14 = Some post high school, no degree or certificate 15 = Certificate (less than two years) 16 = Associate’s Degree 17 = Bachelor’s Degree 18 = Master’s Degree 19 = Doctoral Degree or above 90 = Other Have you graduated, or are you still enrolled? * Graduated Enrolled If you have graduated, please list the date you finished the program. Please list your start date with this program. If you are unsure, a rough estimate is fine. * Thank you!
