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									                                             7/1/2010            ***********************************************
****************************************************************************************
***** Community College APPLICATIONS SUBMITED FOR SEMESTERS SUMMER AND FALL 2008 & Spring 2009 *****
******************************************************************************************************
STATE OF TEXAS COMMON APPLICATION FOR ADMISSION TO TEXAS PUBLIC COMMUNITY COLLEGES
Mapping from Web/Paper App to TS189
Question
n/a        ISA!00!           !00!          !ZZ!TXAPP          ! !                 !070619!2057!U!00401!070619001!0!T!$\
                      ISA 01/02   always 00 and 10 spaces
                      ISA 03/04   always 00 and 10 spaces
                      ISA05/06    ALWAYS ZZ and TXAPP
                      ISA07/08    whatever you registered with the server
                      ISA 09      date sent by server yymmdd
                      ISA 10      time sent by server hhmm       2059 means CC APP summer 2008 thru spring 2009
                      ISA 11      always U
                      ISA 12      always 00401    (ANSI version 004010)
                      ISA 13      control number: yymmddnnn, where nnn is counter of ISA's
                      ISA 14      always 0 - NO 997 REQUESTED
                      ISA 15      P for Production, T for Test
                      ISA 16      always $ - subelement separator - used in data element later
n/a        GS!AF!TXAPP!UTAUS!20070619!2148!070619001!X!004010ED0040\
                      GS 01       always AF - means TS 189
                      GS 02       always TXAPP
                      GS 03       your commonapp institution abbreviation
                      GS 04       date sent by server ccyymmdd
                      GS 05       time sent by server hhmm
                      GS 06       same as ISA 13
                      GS 07       always X
                      GS 08       always 004010ED0040 - ANSI version 4010, SPEEDE version 4
n/a        ST!189!561700001\
                      ST 01       always 189
                      ST 02       yydddnnnn - same date as isa 09 + counter of ST segments to this institution
n/a        BGN!00!561700001!20070619!2148!CT\
                      BGN 01      always 00 - original transmission
                      BGN 02      yydddnnnn - same as ST02
                      BGN 03      same as GS04
                      BGN 04      same as GS05
                      BGN 05      always CT -
n/a        N1!TM!!ZZ!TXAPP\
                      N1 01       always AS - postsecondary sender
                      N1 02       not used here
                      N1 03       always ZZ - mutually defined
                      N1 04       always TXAPP - server abbrev
           N1!AT!!73!003658\
                      N1 01       always AT - postsecondary receiver
                      N1 02       not used here
                      N1 03       always 73 - FICE code qualifier
                      N1 04       your FICE code
           REF!48!0700000241!JTWO YEAR APPLICANT APPLICATION ID\
                      REF 01      always 48 - represents application number qualifier

      Page 1                                                                                                              7/1/20106:55 PM
                     REF 02      application number
                     REF 03      first byte is J for community college app
13        DTP!196!CM!200705\
                     DTP 01      always 196 - start date
                     DTP 02      always CM - format for date in DTP 03 is ccyymm
                     DTP 03      starting semester - ccyymm: mm is 09 for fall, 01 for spring, 05 for summer I, 07 for Summer II
08b       N4!!!!SE!CC!SWEDEN\
                     N4 01       not used here
                     N4 02       not used here
                     N4 03       not used here
                     N4 04       country code                  if available
                     N4 05       CC: Country
                     N4 06       Country name
01        REF!SY!!STUDENT DECLINED TO PROVIDE SSN\
                     REF 01      SY - student reported ssn; LR - assigned student id
                     REF 02      id number
                     REF 03      literal description
03        IN1!1!02\              name type
                     IN1 01      always 1 - person
                     IN1 02      02 - current legal name
03        IN2!05!TEST\           name part
                     IN2 01      05 - last name
                     IN2 02      last name
03        IN2!02!FRESH\          name part
                     IN2 01      02 - first name
                     IN2 02      first name
03        IN2!03!A\              name part
                     IN2 01      03 - middle name
                     IN2 02      middle name
03        IN2!09!JR\             name part
                     IN2 01      09 - suffix name
                     IN2 02      suffix name
          DMG!D8!19650918!M!!O!1!!8\
n/a                  DMG 01      always D8 - birth date format ccyymmdd
02                   DMG 02      birth date
05                   DMG 03      gender - M male F female
                     DMG 04      not collected - marital status
07                   DMG 05      ethnicity - A:Asian or Pacific Islander; H: Hispanic; I: American Indian or Alaskan Native
                                             N: Black (non-hispanic)      O: White (non-hispanic)
22a                  DMG 06      Citizenship - 1 for U.S. Citizen, 3 for permanent resident, 2 non-us citizen, blank
22a                  DMG 07      2/3 character code for country of citizenship
                     DMG 08      always 8 - date of birth undocumented
06        IND!!CA!!LOS ANGELES\
                     IND 01      2/3 character code for country of birth, blank when u.s.
                     IND 02      state of birth
                     IND 03      county of birth
                     IND 04      city of birth
          N3!PERM STREET ADDR1!PERM ADDR 2\
08                   N3 01       street address
08                   N3 02       street address (continued if necessary)
      Page 2                                                                                                                       7/1/20106:55 PM
          N4!PERM!TX!78701!!CY!227TRAVIS\
08                   N4 01       City
08                   N4 02       state
08                   N4 03       postal (zip) code
08                   N4 04       country code
                     N4 05       CY: County
                     N4 06       coded area
08                               county code                  a3
08                               county name                  a25



          N3!MAIL STREET ADDRESS!MAIL ST ADDR2\
09                   N3 01       street address
09                   N3 02       street address (continued if necessary)
          N4!CURRCITY!TX!76600\
09                   N4 01       City
09                   N4 02       state
09                   N4 03       postal (zip) code
09                   N4 04       country code
09                   N4 05       CY: County; CC: Country; SP State
09                   N4 06       county name or state or country name

08        COM!HP!   5125550000\
                     COM 01       HP: Home Phone: Permanent Phone
                     COM 02       detail area
                                  country code   (A03)
                                  area code      (a03)
                                  number         (a07)
09        COM!OT!8175559999\
                     COM 01      OT: Other Residence Phone: Local Phone
                     COM 02      phone number
10        COM!EM!xxx@yyy.com\
                     COM 01      EM: email address
                     COM 02      email address
04        IN1!1!05\
                     IN1 01      always 1 - person
                     IN1 02      05 - previous name
04        IN2!05!TESTOT2\
                     SAME AS ABOVE
04        IN2!02!FRESH2\
                     SAME AS ABOVE
04        IN2!03!B\
                     SAME AS ABOVE
          IN2!09!III\
                     SAME AS ABOVE
11x       IN2!12!JAMES RECORD\
                     IN2 01      12: Combined (unstructured) name
                     IN2 02      name
11y       COM!AP!987/555-1234\
                     COM 01      AP: Alternate Phone
      Page 3                                                               7/1/20106:55 PM
                       COM 02      telephone number
12          SSE!19990601\
                       SSE 01      date of entry: CCYYMMDD format
14          FOS!M!ZZ!14400!BIOLOGY\
                       FOS 01      M: major
                       FOS 02      ZZ: mutually defined
                       FOS 03      major code                    A22 max
                       FOS 04      major literal                 a60
*********   SEE RQS LIST AT END OF THIS FILE                     **************
Cert        RQS!AQ!ZZ!CERT INFO!!07/06/2006,10:1807/06/2006,10:1807/06/2006,10:18\
                       RQS 01      always AQ: Application Question Identifier
                       RQS 02      always ZZ: Mutually Defined
                       RQS 03      CERT INFO
                       RQS 04      not used here
                       RQS 05      coded area
                                   FERPA Cert date/time          A16
                                   Meningitis Cert Date/Time     A16
                                   Truth Cert Date/Time          A16
                                   Complete Cert Date/Time       A16



*********   SEE RQS LIST AT END OF THIS FILE                     **************
15          SST!B18!CM!199805\
                       SST 01      high school grad type: B24 GED B18: HS Diploma    B17: Q16 answered No (not graduate, no GED)
                       SST 02      CM: date format CCYYMM
                       SST 03      HS grad date/ged taken date
15          N1!HS!TRAVIS HIGH SCHOOL!78!440325\
                       N1 01       HS: High School
                       N1 02       Free form HS Name
                       N1 03       78: CEEB (College Board/ACT pK-12 codeset)
                       N1 04       hs code
15          N4!AUSTIN!TX\
                       N4 01       HS City
                       N4 02       HS State
20          PCL!73!001565!RD5!199801-199805!!!NORTHWESTERN UNIVERSITY\
                       PCL 01      73: code for FICE
                       PCL 02      fice code
                       PCL 03      date format RD%: CCYYMM-CCYYMM
                       PCL 04      dates of attendance
                       PCL 05      not used here
                       PCL 06      not used here
                       PCL O7      institution name
20          N4!EVANSTON!IL\
                       N4 01       institution city
                       N4 02       institution state
20          SSE!!!B39\
                       SSE 01      not used here
                       SSE 02      not used here
                       SSE 03      status when left inst         a3
20          SUM!X!!!!!6.5\
      Page 4                                                                                                                       7/1/20106:55 PM
                    SUM 01      always X for hours, type unknown
                    SUM 02-05   not used here
                    SUM 06      total hours
         SE!88!001940001\
                    SE 01       count of segments from ST to SE, inclusive
                    SE 02       same as ST02
         GE!1!000713001\
                    GE 01       total number of transaction sets
                    GE 02       control number (same as GS 06 and IEA 02
         IEA!1!000713001\
                    IEA 01      number of functional groups - always 1
                    IEA 02      control number (same as GS 06 and GE 02
         *******************************************************************************************************************
         List of all RQS
                    --------------------------------------------------------------------
         --------------------------------------------------------------------
         All RQS segments have the same first 2 data elements:

                   RQS 01      always AQ: Application Question Identifier
                   RQS 02      always ZZ: Mutually Defined

                   RQS!AQ!ZZ!CERT INFO!!07/06/2006,10:1807/06/2006,10:1807/06/2006,10:18\
                         RQS 03 CERT INFO
                         RQS 04 not used here
                         RQS 05 coded area
29                              FERPA Cert date/time         A16
29                              Meningitis Cert Date/Time    A16
                                Truth Cert Date/Time         A16
                                Complete Cert Date/Time      A16

                   RQS!AQ!ZZ!ALIEN APP/INT!!YY\
                         RQS 03 ALIEN APP/INT
                         RQS 04 not used here
                         RQS 05 coded area (A64)
                                ALIEN-PERM-RES-APP           A01   Y/blank
                                ALIEN-PERM-RES-INTENT        A01   Y/blank

                   RQS!AQ!ZZ!FAMILY!!24\
                         RQS 03 FAMILY
                         RQS 04 not used here
                         RQS 05 coded area
29                              educ level father            A01
29                              ed level mother              A01



                   RQS!AQ!ZZ!HOME SCHOOLED!Y\
15                       RQS 03 HOME SCHOOLED
                         RQS 04 Y or N
                         RQS 05 not used here

                   RQS!AQ!ZZ!HS GED TYPE!Y!ENGLISH\
     Page 5                                                                                                                    7/1/20106:55 PM
15                 RQS 03 HS GED TYPE
                   RQS 04 Question 16 answer (Y or N or blank)
                   RQS 05 SPANISH or ENGLISH

              RQS!AQ!ZZ!HS: IB DIPLOMA!Y\
15                  RQS 03 HS: IB DIPLOMA
                    RQS 04 Question 16 answer (Y or N or blank)
                    RQS 05 not used here

              RQS!AQ!ZZ!HS: TEXAS GRANT ELIGIBILITY!Y\
15                  RQS 03 HS: TEXAS GRANT ELIGIBILITY
                    RQS 04 Question 16 answer (Y or N or blank)
                    RQS 05 not used here

              RQS!AQ!ZZ!JC ADM BASIS!!H\
                    RQS 03 JC ADM BASIS
                    RQS 04 not used here
                    RQS 05 Basis                        A01




              RQS!AQ!ZZ!JC REASON ATTENDING!!P\
                    RQS 03 JC REASON ATTENDING
                    RQS 04 not used here
                    RQS 05 Basis                        A01




              RQS!AQ!ZZ!JC TSI!!YYY     000000 000000 000000\
                    RQS 03 JC TSI
                    RQS 04 not used here
                    RQS 05 coded area (A39)
                           TSI-RELEASE                   A01
                           THEA-RELEASE                  A01
                           TSI-ALT-TEST-RELEASE          A01
                           TSI-ALT-TEST-NAME             A01
                           TSI-TEST-NEEDED               A01
                           TSI-EXEMPT-TEST               A01
                           TSI-EXEMPT-SAT                A01
                           TSI-EXEMPT-SAT-CCYYMM         N06
     Page 6                                                       7/1/20106:55 PM
                     TSI-EXEMPT-ACT               A01
                     TSI-EXEMPT-ACT-CCYYMM        N06
                     TSI-EXEMPT-TAKS              A01
                     TSI-EXEMPT-TAKS-CCYYMM       N06
                     TSI-EXEMPT-ASSOC             A01
                     TSI-EXEMPT-TRANSFER          A01
                     TSI-EXEMPT-MIL-ACTIVE        A01
                     TSI-EXEMPT-MIL-RETIRED       A01
                     TSI-DATE                     A08

         RQS!AQ!ZZ!RES: BASIS OF CLAIM!!Y                                                            NYY\
               RQS 03 RES: BASIS OF CLAIM
               RQS 04 not used here
               RQS 05 coded area (A69)
                      File Own Tax                A01
                      Claimed as dependent        A01
                      BR-SPT                      A01
                      BR-SPT-OTHER                A25

         RQS!AQ!ZZ!RES: COMMENTS\
               RQS 03 RES: COMMENTS
               RQS 04 not used here
               RQS 05 not used here
         MSG! Comment Line 01 aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaz\
               MSG 01 free form comment            a80

         RQS!AQ!ZZ!RES: GUAR!!     N                              Y0108HYTXY200001 200002Y200003Y\
               RQS 03 RES: GUAR
               RQS 04 not used here
               RQS 05 coded area (A64)
                      US-CIT                      A01   Y/blank
                      US-PERMRES                  A01   Y/blank
                      ALIEN-PERMRES-APP           A01   Y/blank
                      VISA                        A30
                      CURR-TX-RES                 A01
                      TX-RES-YRS                  N02
                      TX-RES-MTHS                 N02
                      WHY-MOVE-TX                 A01
                      TX-MIL-HOME                 A01
                      TX-MIL-LEGAL-STATE          A02
                      TX-TITLE                    A01
                      TX-TITLE-CCYYMM             N06
                      TX-BUSINESS                 A01
                      TX-BUSINESS-CCYYMM          N06
                      TX-LICENSE                  A01
                      TX-LICENSE-CCYYMM           N06
                      TX-WORK                     A01

         RQS!AQ!ZZ!RES: HS DIPLOMA OR GED!!                                                            NY\
               RQS 03 RES: HS DIPLOMA OR GED
Page 7                                                                                                       7/1/20106:55 PM
              RQS 04 not used here
              RQS 05 coded area (A69)
                     not used here               A01
                     TEXAS HS NAME               A43
                     TEXAS HS CITY               A22
                     Live in TX 36 months        A01
                     Live TX 12 months           A01




         RQS!AQ!ZZ!RES: PREVIOUS ENROLLMENT!!N                                         0000000000\
               RQS 03 RES: PREVIOUS ENROLLMENT
               RQS 04 not used here
               RQS 05 coded area (A69)
                      Coll Prev Att              A01   Y/Blank
                      Coll Prev Att NAME         A43
                      Coll Prev Att CCYYS1       N05
                      Coll Prev Att CCYYS2       N05
                      Coll Prev Att STATUS       A01
                      Coll Prev Att BASIS        A01

         RQS!AQ!ZZ!RES: RESIDENCY CLAIM!!Y\
               RQS 03 RES: RESIDENCY CLAIM
               RQS 04 not used here
               RQS 05 coded area (A69)
                      Texas Resident             A01   Y/Blank
                      Resident of what state     A02
                      resident of what country   A03 (code)
                      resident of what country   A30 (literal)

         RQS!AQ!ZZ!RES: SELF!!     N                             Y0108HYTXY200001 200002Y200003Y\
               RQS 03 RES: SELF
               RQS 04 not used here
               RQS 05 coded area (A64)
                      US-CIT                     A01   Y/blank
                      US-PERMRES                 A01   Y/blank
                      ALIEN-PERMRES-APP          A01   Y/blank
                      VISA                       A30
                      CURR-TX-RES                A01
                      TX-RES-YRS                 N02
                      TX-RES-MTHS                N02
                      WHY-MOVE-TX                A01
                      TX-MIL-HOME                A01
                      TX-MIL-LEGAL-STATE         A02
                      TX-TITLE                   A01
                      TX-TITLE-CCYYMM            N06
                      TX-BUSINESS                A01
                      TX-BUSINESS-CCYYMM         N06
                      TX-LICENSE                 A01
                      TX-LICENSE-CCYYMM          N06
Page 8                                                                                               7/1/20106:55 PM
                             TX-WORK                      A01

Dynamic        RQS!AQ!ZZ!$    1!!Portofolios Requirements\
Questions      RQS 03        $ n
               RQS 04        not used here
               RQS 05        question title                      A30
               MSG 01        question literal                    a80
               MSG 02        AT
               MSG 01        answer text                         a80
               MSG 02        DS
                             RQS!AQ!ZZ!$ 6!!Freshman Essays E, F and G\
                             MSG!!AT\
                             MSG!To submit UT Austin Essay E, F, or G <a!AT\
                             MSG!href="http://bealonghorn.utexas.edu/bal/essay_topics.WBX"!AT\
                             MSG!title='See UT Austin essay topics.(opens new window.)' target='topics'>!AT\
                             MSG!(see topics)</a> or an expanded resume, visit the <b><a href="!AT\
                             MSG!javascript:goURL('http://dpdev1.dp.utexas.edu/test/bal/essay/index.WBX');"!AT\
                             MSG!title='UT Austin Essay/Resume System.(opens new window.)' >!AT\
                             MSG!UT Austin Essay/Resume System</a></b>.<br><br>!AT\
                             MSG!After you submit your admissions application, you will no longer be able to!AT\
                             MSG!access the system through Applytexas; instead, access it through Be a Longhorn.!AT\
                             MSG!NO ANSWER ALLOWED!DS\




      Page 9                                                                                                           7/1/20106:55 PM
*************************************
LL 2008 & Spring 2009 *****
****************************
COLLEGES



      !070619!2057!U!00401!070619001!0!T!$\




CC APP summer 2008 thru spring 2009



counter of ISA's



n data element later




     (example: UTAUS: UT AUSTIN)




 SPEEDE version 4



r of ST segments to this institution




     (example: 003658: UT Austin)

r qualifier

              Page 10                         7/1/20106:55 PM
ccyymm
fall, 01 for spring, 05 for summer I, 07 for Summer II




student id




 H: Hispanic; I: American Indian or Alaskan Native
 O: White (non-hispanic)
permanent resident, 2 non-us citizen, blank
nship

    place of birth
blank when u.s.




     first address (N3 loop) will be permanent address


             Page 11                                     7/1/20106:55 PM
permanent address




N4 06 is a coded area only if N4 05 is CY. If N4 05 is coded SP, it
will contain a U.S. postal code that is not in the SPEEDE state table.
current address. If N4 04 is ZZ, and N4 05 is coded CC, N4 06 will have
the country name (country has no code in SPEEDE country list)
second address (n3 loop) will be mailing address (if different from perm)




If N4 04 is ZZ, and N4 05 is coded CC, N4 06 will have
the country name (country has no code in SPEEDE country list)
d qualifier on question number denotes phone number




d qualifier on question number denotes phone number




other names - same as name loop above - max of 3 previous names




emergency contact phone - sent only if entered

      Page 12                                                               7/1/20106:55 PM
     for summer: ccyy0601;for fall: ccyy0901; for spring: ccyy0101

     can occur twice if second choice is made




     always sent




     mm/dd/yyyy,HH:MM




     if hs code or hs name is entered, SST will be sent even if empty
Diploma B17: Q16 answered No (not graduate, no GED)




     a2 (if code is unknown, ZZ will be sent)
     a6 (if unknown, 000000 will be sent)

     a13



     a43

     a22
     a2




     B39 Probation;   B40 Dismissal; ZZ both dismissal and probation

           Page 13                                                      7/1/20106:55 PM
     always sent as xxx.x, with leading and trailing zeroes




****************************************************

----------------




807/06/2006,10:18\




     mm/dd/yyyy,HH:MM




     Alien application/intent



     do you have an application for permanent residence (form I-485) pending with the U.S. Citizenship and Immigration Services (USCIS)?
     have you lived in Texas for three years preceding high school graduation or receipt of a GED in Texas?




     0: no high school 1: some high school 2: high school diploma or GED
     3: some college   4: bachelor's/4 yr degree   5: graduate/prof degree




            Page 14                                                                                                                        7/1/20106:55 PM
 H   High School Graduate
 G   GED
 C   College Transfer, Degree-seeking
 N   College Transfer, Not Degree-seeking
 R   Readmission from prior semester
 T   Transient- Seeking a degree elsewhere
 D   Dual Credit (receiving both high school & college credit)
 E   High School Early Admission (college credit only)
 I   Individual Approval (no high school diploma or GED)
 M   Home Schooled/High School Graduate




 A   Earn Associate's Degree (2 years)
 C   Earn a certificate (less than 2 years)
 T   Earn credits for transfer
 J   Courses to: get a new or better job/ improve current job skills
 P   Courses for personal enrichment
 B   Earn a Bachelor of Applied Technology (BAT) degreee




All checkboxes are Y or blank
Question 20: checkbox 1
              checkbox 2
              checkbox 3
C=COMPASS, S=ASSET, A=ACCUPLACER, M=MAPS
Question 20: checkbox 4
Question 20: Exemption checkbox 1
             Test Exemption checkbox 1
             Test Exemption checkbox 1 date (CCYYMM)
      Page 15                                                          7/1/20106:55 PM
                  Test Exemption checkbox   2
                  Test Exemption checkbox   2 date (CCYYMM)
                  Test Exemption checkbox   3
                  Test Exemption checkbox   3 date (CCYYMM)
     Question 20: Exemption checkbox 2
                  Exemption checkbox 3
                  Exemption checkbox 4
                  Exemption checkbox 5
     (CCYYMMDD)

                                              NYY\




     file as independent taxpayer on federal tax return
     claimed or eligible to be claimed as dependent on federal tax return
     who provides the majority of your support
     literal for other




aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaz\
      max 20 occurences of MSG with the RQS

     Y0108HYTXY200001 200002Y200003Y\
      Residency by Parent/Guardian



     Is Parent/Guardian a us citizen
     Is Parent/Guardian a Permanent Resident
     Has Parent/Guardian alien permenant residence application been preliminarily reviewed
     Parent/Guardian: Visa, Refugee, Asylee, Parolee or here under Temporary Protective Status
     Parent/Guardian a Current Texas Resident
     Years Parent/Guardian a Texas Resident
     Months Parent/Guardian a Texas Resident
     Why did Parent/Guardian move to texas
     Is Texas his/her Home of Record with US Military
     What is the state of military legal residence for tax purposes on his or her Leave and Earnings Statement
     Does Parent/Guardian hold title to real property in Texas
     Date Title to real property acquired
     Does Parent/Guardian own a business in Texas
     Date Parent/Guardian acquired a business in Texas
     Does Parent/guardian hold a state or local license to conduct a business or practice a profession in Texas
     Date License acquired
     Has Parent/Guardian been gainfully employed in Texas for the past 12 months

                                                 NY\

            Page 16                                                                                               7/1/20106:55 PM
                        0000000000\




Yes or blank
College name
College Fall term attended
College Spring term attended
Did you pay Resident or Non-res (out of state) tuition
If paid resident tuition, were you Texas resident or on a tuition waiver




Yes or   blank
if not   Texas resident
if not   US Citizen or permanent resident
if not   US Citizen or permanent resident

Y0108HYTXY200001 200002Y200003Y\
 Residency by Self



Are you a us citizen
Are you a Permanent Resident
Has your alien permanent residence application been preliminarily reviewed
Self: Visa, Refugee, Asylee, Parolee or here under Temporary Protective Status
Are you a Current Texas Resident
Years you have been a Texas Resident
Months you have been a Texas Resident
Why did you move to texas
Is Texas your Home of Record with US Military
What is the state of military legal residence for tax purposes on your Leave and Earnings Statement
Do you hold title to real property in Texas
Date Title to real property acquired
Do you own a business in Texas
Date Self acquired a business in Texas
Do you hold a state or local license to conduct a business or practice a profession in Texas
Date License acquired
         Page 17                                                                                      7/1/20106:55 PM
     Have you been gainfully employed in Texas for the past 12 months



     n is a sequence number; sent if available




 <a!AT\
bal/essay_topics.WBX"!AT\
pens new window.)' target='topics'>!AT\
me, visit the <b><a href="!AT\
texas.edu/test/bal/essay/index.WBX');"!AT\
.(opens new window.)' >!AT\
>.<br><br>!AT\
lication, you will no longer be able to!AT\
; instead, access it through Be a Longhorn.!AT\




           Page 18                                                      7/1/20106:55 PM
20 Previous Enrollment

  a)       prev-tx-college          a1 attend public tx coll or univ in prev 12 months
  b)       prev-tx-college-name     a43 a) yes
  c)       prev-coll-ccyys1         n5 which terms enrolled
           prev-coll-ccyys2         n5

  d)       prev-res-status          a1    at prev-coll, did you pay res or non-res tuit
                                          if prev-res-status = res, was it because res,
   e)     prev-res-basis            a1    nonres waiver, unknown
21 Residency Claim
          res-for-tuit              a1    are you a texas res
                     if not
          res-state-code            a2 what state/country are you a res
          res-country-code          a3
          res-country-other         a30
22 HS Diploma or GED
   a)     TX-hs-ged                 a1    TX hs grad or TX ged
          TX-hs-name                a43   hs name
          TX-hs-city                a22   hs city
   b)     three-yr-TX               a1    live in TX 36 months prior to hs grad/GED
                                          when sem begins, have lived in TX for prev 12
   c)       one-yr-tx               a1    months
   d)       us-cit-perm-res         a1    are you a us cit or perm res
23 Basis   for Claim of Residency
   a)       res-status              a2    ???????????
                                          do you file own tax rtn as independent tax
           filed-own-tax            a1    payer
                                          claimed or elig to be claimed as dependent
  b)      claimed-as-dep-this-yr    a1    (parent/legal guardian)
  c)      support                   a1    self, p/g, other
          support-other             a25
24 Yes to Self Q23
   a)     self-us-cit               a1  are you a us cit
   b)     self-us-permres           a1  are you a us perm res
   c)     self-alien-permres-app    a1  reviewed app for perm res stat
                                        refugee, asylee, parolee, temp       protective
  d)      self-visa                 a30 status
  e)      self-curr-tx-res          a1 currently live in TX
  f)   1) self-tx-res-yrs           n2 if e) yes, how long years
          self-tx-res-mnths         n2                      months
       2) self-why-move-tx          a1 main purpose move TX
  g)   1) self-tx-mil-home          a1 if us mil, is TX home of record

       2) self-tx-mil-legal-state   a2    what state is mil legal res for tas on L/E stmt

  h)   1) self-tx-title             a1    hold title to TX real property
          self-tx-title-ccyymm      n6    date acquired
       2) self-tx-business          a1    own business in TX
          self-tx-business-ccyymm   n6

       3) self-tx-license           a1    state/local license re business/profession TX
          self-tx-license-ccyymm    n6
  i)   1) self-tx-work              a1    gainfully empl in TX for 12 mnths
                                          recvd svcs from soc serv agency homeless 12
       2) self-tx-homeless          a1    mnths
j)   self-tx-spouse         a1   married to person ans Yes to h) or i)
     self-tx-spouse-other   a1   which h) or i)
     self-tx-spouse-yrs     n2   how long
     self-tx-spouse-mnths   n2
25 Parent/Guard to Q23
   a)      guar-us-cit              a1  are you a us cit
   b)      guar-us-permres          a1  are you a us perm res
   c)      guar-alien-permres-app   a1  reviewed app for perm res stat
                                        refugee, asylee, parolee, temp      protective
  d)      guar-visa                 a30 status
  e)      guar-curr-tx-res          a1 currently live in TX
  f)   1) guar-tx-res-yrs           n2 if e) yes, how long years
          guar-tx-res-mnths         n2                      months
       2) guar-why-move-tx          a1 main purpose move TX
  g)   1) guar-tx-mil-home          a1 if us mil, is TX home of record

       2) guar-tx-mil-legal-state   a2   what state is mil legal res for tas on L/E stmt

  h)   1) guar-tx-title             a1   hold title to TX real property
          guar-tx-title-ccyymm      n6   date acquired
       2) guar-tx-business          a1   own business in TX
          guar-tx-business-ccyymm   n6

       3) guar-tx-license           a1   state/local license re business/profession TX
          guar-tx-license-ccyymm    n6
  i)   1) guar-tx-work              a1   gainfully empl in TX for 12 mnths
                                         recvd svcs from soc serv agency homeless 12
       2) guar-tx-homeless          a1   mnths
   j)     guar-tx-spouse            a1   married to person ans Yes to h) or i)
          guar-tx-spouse-other      a1   which h) or i)
          guar-tx-spouse-yrs        n2   how long
          guar-tx-spouse-mnths      n2
26 Gen Comments
          res-comments              a80 1:20
          c*res-comments            n3 max 20
27 Res Cert
          r-cert
          r-cert-t

								
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