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Request Your Admissions Packet

So, do you like what you see so far? We thought so. Would you like to learn more about Southeastern? Just fill out the request form below and we will be happy to send you additional information.
If you need assistance please contact the office of admissions at 1-800-222-SELU (7358) or admissions@selu.edu.

Please Note: This is not an application for admission. To apply for admission on line, click here.

Personal Information
Have you previously attended Southeastern Louisiana University?		Yes No
If you answered yes above, enter your University ID (W#)(if applicable): Lookup W Number		W
SSN (no hyphens i.e., 123-45-6789 = 123456789)(if applicable):
First Name:
Middle Name:
Last Name:
Suffix (select one):
Country (select one) (State, Zip Code, and County/Parish below not applicable if outside of the US):
Mail Address:
Mail Address Line 2:
City:
State (select one):
Zip Code (12345 or 12345-6789 format):
County or Parish:
Home City (if different from listed address):
Louisiana Residency (select one):
Phone Number (please include Area Code):
Mobile Phone Number (please include Area Code):
Email Address (ex.: yourname@domain.com):
Gender (select one):		Male Female
Your Birthdate:
Do you consider yourself hispanic?:		No Yes
Race (select one or more -- hold CTRL key while clicking to select multiple or to remove a selection):
The Last High School You Attended:
If your HS is not listed, enter its name, city, and state here:
High School graduation date:


Academic Plan Information
Semester applying for:
Enrolling as:
Planned Academic Major:


Miscellaneous Information
Country Citizenship:
If country not listed, enter here:
Interested in Division of Residential Life (on-campus housing?):
Interested in Financial Aid?:		Yes No

BY SUBMITTING THIS REQUEST, I DO HEREBY AUTHORIZE LOUISIANA PUBLIC POST-SECONDARY EDUCATION ACCESS TO MY ACADEMIC RECORDS.
THE INFORMATION SUBMITTED ON THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT WITHHOLDING OR GIVING INCORRECT INFORMATION MAY MAKE ME INELIGIBLE FOR ADMISSION TO SOUTHEASTERN LOUISIANA UNIVERSITY.