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Get USM Application for Undergraduate Admission 2012-2024

Nformation – U.S. Social Security Number – Are you a Southern Miss employee?  Yes  No Legal Name Last/Family First Middle/Second Maiden/Birth Name Please list any previous names (You may be asked to provide documentation). Check Citizenship Status:  U.S. Citizen  Other, Specify  Permanent Resident (Please forward a copy of both sides of your Alien Registration Card.)  Nonresident Alien Country of Birth:  Yes  No Please check one or more of the follow.

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