Gender

  • Male
  • Female

Ethnicity

  • Not Hispanic/Latino
  • Hispanic/Latino

Race

  • White
  • Native Hawaiian or Other Pacific Islander
  • Black or African American
  • Asian
  • American Indian or Alaska Native

Is your father/mother an alumnus of our school?

  • Yes
  • No

Is your father/mother an employee of our school?

  • Yes
  • No

United States Veteran

  • Yes
  • No

Are you receiving veteran's benefits?

  • Yes
  • No

Are you currently on active duty?

  • Yes
  • No

Did you graduate from home school?

  • Yes
  • No

Do you have a HiSET/GED?

  • Yes
  • No

Have you previously applied to Kilgore College?

  • Yes
  • No

What high school activities did you participate in?

  • Athletic Training
  • Theatre
  • Band
  • Twirling
  • Newspaper/Yearbook
  • National Honor Society

Are you interested in joining American Honors?

  • Yes
  • No

Are you on academic probation or academic suspension at any other college?

  • Yes
  • No
College/University State College/University City College/University Name College/University Org Code

Did you attend a public college or university in Texas during a fall or spring term during the 12 months prior to enrolling for the term for which you are applying?

  • Yes
  • No

During your last semester at a Texas public institution, did you pay resident (in-state) or nonresident (out-of-state)?

  • Resident (in-state)
  • Nonresident (out-of-state)
  • Unknown

If you paid in-state tuition at your last institution, was it because you were classified as a resident or because you were a nonresident who received a waiver?

  • Resident
  • Nonresident
  • Unkown

Are you a resident of Texas?

  • Yes
  • No

Did you graduate or will you graduate from high school or complete a GED in Texas prior to the term for which you are applying?

  • Yes
  • No

Did you live or will you have lived in Texas the 36 months leading up to high school graduation or completion of the GED?

  • Yes
  • No

When you begin the semester for which you are applying, will you have lived in Texas for the previous 12 months?

  • Yes
  • No

Are you a U.S. Citizen or Permanent Resident?

  • Yes
  • No

Do you file your own federal income tax as an independent tax payer?

  • Yes
  • No

Are you claimed as a dependent or are you eligible to be claimed as a dependent by a parent or court-appointed legal guardian? (To be eligible to be claimed as a dependent, your parent or legal guardian must provide at least one half of your support. A step-parent does not qualify as a parent if she/she has not adopted the student.)

  • Yes
  • No

If you answered "No" to both questions above, who provides the majority of your support?

  • Self
  • Parent or Guardian
  • Other

Are you a U.S. Citizen?

  • Yes
  • No

Are you a Permanent Resident of the U.S.?

  • Yes
  • No

Are you a foreign national who application for Permanent Resident Status has been preliminarily reviewed? (You should have received a fee/filing receipt or Notice of Action (I-197) from USCIS showing your I-485 has been reviewed and has not been rejected).

  • Yes
  • No

Do you currently live in Texas? If you are out of state due to a temporary assignment by your employer or other temporary purpose, please explain in Part G.

  • Yes
  • No

What is your main purpose for being in the state? If for reasons other than those listed, give an explanation in Section G.

  • Go to College
  • Establish/maintain a home
  • Work Assignment

If you are a member of the U.S. military, is Texas your Home of Record?

  • Yes
  • No

While living in Texas, have you been gainfully employed for a period of at least 12 consecutive months?

  • Yes
  • No

While living in Texas, have you received services from a social service agency that provides services to homeless persons for a period of at least 12 consecutive months?

  • Yes
  • No

Are you married to a person who could answer"yes" to any of the last few questions?

  • Yes
  • No

Is the parent or legal guardian upon whom you base your claim of residency a U.S. citizen?

  • Yes
  • No

Is the parent or legal guardian upon whom you base your claim of residency a Permanent Resident?

  • Yes
  • No

Is this parent or legal guardian a foreign national whose application for Permanent Resident Status has been preliminarily reviewed? (He or she should have received a fee/filing receipt or Notice of Action (I-797) from the USCIS showing his or her I-485 has been reviewed and has not been rejected)

  • Yes
  • No

Does this parent or legal guardian currently live in Texas? If he or she is out of state due to a temporary assignment by his/her employer or other temporary purpose, please explain in Part G.

  • Yes
  • No

What is your parent's or legal guardian's main purpose for being in the state? If for reasons other than those listed, give an explanation in Section G.

  • College
  • Establish/maintain a home
  • Work Assignment

If he or she is a member of the U.S. military, is Texas his or her Home of Record?

  • Yes
  • No

While living in Texas, has your parent/guardian been gainfully employed for a period of at least 12 consecutive months?

  • Yes
  • No

While living in Texas, has your parent/guardian received services from a social service agency that provides services to homeless persons for a period of at least 12 consecutive months?

  • Yes
  • No

Is your parent/guardian married to a person who could answer "yes to any of the last few questions?

  • Yes
  • No

I understand that officials of my college/university will use the information submitted on this form to determine my status for residency eligibility. I authorize the college/ university to verify the information I have provided. I agree to notify the proper officials of the institution of any changes in the information provided. I certify that the information on this application is complete and correct and I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment and/or appropriate disciplinary action.

  • Yes