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Summer Visiting Application

Summer Visiting Application

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Please complete the following student visiting application. Fields marked with a (*) are required.

Personal Information

First Name: *

Last Name: *

Preferred Name:

Gender: *

Male

Female

Driver's License #:

Louisiana residents only

County/Parish:

Date of Birth: *

Place of Birth City:

Place of Birth State:

Place of Birth Country:

Citizenship Type: *

Citizenship Country: *

Visa Status: *

Permanent Resident

Nonimmigrant

Visa Type:

Voluntary
The following will be used in a nondiscriminatory manner consistent with applicable civil rights law

Ethnic Background:

African-American/Black (non-Hispanic)

Asian/Pacific Islander

Caucasian-American/White (non-Hispanic)

Hispanic/Latino (including Puerto Rico)

Native American/Alaskan native

Other (please specify)

Decline to identify

Check 2 or more if applicable.

If other ethnicity:

Religious Denominational Preference:

Loyola University New Orleans is a member of the Association of Jesuit Colleges & Universities

Academic Affairs Intranet | Summer Session Intranet

Office of Academic Affairs | Summer Session | Phone: (504) 865-3530 | Fax: (504) 865-2787 | E-mail: summer@loyno.edu

Office Address: Marquette 270 | Mailing Address: : 6363 St. Charles Avenue, Box 148, New Orleans, LA 70118

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