Parent/Legal Guardian Information Form

Please fill out the form below so we can communicate with you directly and answer any questions you might have regarding the college education of your son and/or daughter.

Student Information
UNO Student ID: (if available)
Last Name**
First Name**
Middle Name
Suffix	I II III IV JR SR
Gender**	Female Male
Social Security Number	(formatted xxx-xx-xxxx)
Date of Birth**
Student Email**
What semester and year will your child plan to enroll in college?	Semester: Spring Summer Fall Year: 2007 2008 2009 2010 2011 2012
He/She plans to enroll as a:	Select One Freshman Transfer Student Graduate Student
High School Information
High School Name
City
State	Select a State.. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Graduation Date	Month: Year: (numbers only)
Parent/Guardian Information
Relationship:	Father Mother Other Other Relative
Parent Last Name**
Parent First Name**
Street Address 1
Street Address 2
City
State	Select a State.. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Postal	(formatted xxxxx or xxxxx-xxxx)
Phone	(formatted xxx-xxx-xxxx)
Parent Email**
** - required fields

If you have any further questions or comments contact us at:
504.280.6595 or 504.280.3033
or at 1.800.256.5.UNO