Registrar

Home
Who We Are
Our Programs
Tuition & Fees
Faculty
Registrar
2021 FALL SCHEDULE

SRS MISSION

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile *

Home *

Email *

Emergency Contact *

Emergency Contact Number *

Are you a legal Arkansas resident? *

Yes No

If yes, how many years? *

Citizenship Status *

US Citizen Permenant Resident Alien Non-Resident Alien

Indicate your status with selective services: *

Registered with Selective Services Under 18 Years of Age Exempted Resident Alien Female Above 26 Years of Age Other

(Information regarding sex and ethnic origin is requested for statistical and reporting purposes only).

Gender *

Male Female

Ethnicity *

White Black Native American/Alaskan Native Asian Hispanic

SSN *

Date of Birth

Month *

Day *

Year *

Place of Birth *

High School Attended *

Date of Graduation *

Location of High School *

Do you have a GED? *

Yes No

Issue date of GED? *

State received? *

Are you currently enrolled in a college or university? *

Yes No

Submit

School of Religious Studies | PO Box 15251, Little Rock, AR 72231 or 6219 Hwy 161, North Little Rock, AR 72117 | (501)-955-9200

Proudly powered by Weebly

Home
Who We Are
Our Programs
Tuition & Fees
Faculty
Registrar
2021 FALL SCHEDULE