Personal information

Please indicate religious group with which you most closely identify:

Please indicate your predominant ethnic background: (see bolded information below for explanations)

Yes

No

Select one or more races with which you identify:

Hispanic: All persons of Mexican, Puerto Rican, Cuban,
        Central or South American or other Spanish culture,
        regardlless of race.
Asian or Pacific Islander: All persons having origins in any
        of the original peoples of the Far East, Southeast Asia, the
        Indian subcontinent or the Pacific Islands. This includes, for
        example, China, Japan, Korea, the Philippine Islands, Samoa,

        etc.
Black (non-Hispanic): All persons having origins in any of
        the black racial groups of Africa.
American Indian or Alaska native: persons having
        origins in any of the original peoples of North America.
White (non-Hispanic): All persons having origins in any of
         the original peoples of Europe, North Africa or the Middle

         East.

Please indicate your marital status:

Do you have a disability?

If yes, please describe the disability:

Please be aware that Marquette University has an Office of Disability Services located in the Alumni Memorial Union, Room 317, phone (414) 288-1645.