Southern Illinois University Edwardsville - Freshman Application

Personal Information

First Name Karla

Middle Name Miracle
Last Name Temple
Preferred Name

Email Address karlatemple314@gmail.com

Home Phone 618-406-2462

Cell Phone 618-406-2462
[X] I give permission to Southern Illinois University Edwardsville to send me important updates via text messaging.
(Standard message charges apply.)

Date of Birth 07/07/2004

Gender Female
I am a resident of the following state: Illinois
How many years have you resided in this 16
state?
Have you served or are you currently serving in No
the U.S. military?
Click here for information on how to receive academic credit for military experience.

Are you interested in ROTC? No

The Military Science Department offers scholarships and monthly stipends with no commitment for certain benefits. SIUE's Army and Air Force programs
cover leadership, fitness and adventure. Visit siue.edu/rotc for more information.

Your Address

Permanent Address
Address 4710 tudor Ave
Address Line 2
City East st louis
State/Province Illinois
County Saint Clair
ZIP/Postal Code 62207
Country United States
Is your mailing address the same as your Yes
permanent address?

Your Family
Did either of your parents/guardians attend No
college?
Are any of your family members SIUE alumni? No
To whom should we send information? One Parent/Guardian

Parent 1/Guardian 1
Relationship to You Legal Guardian
Title
First Name Karrisa
Last Name Temple
Email Address moneybaggtae014@gmail.com
Phone Number 618-515-0554
Phone Type Cell
Is this parent's/guardian's address the same as Yes
your permanent address?

Citizenship

Citizen Type U.S. Citizen

Ethnicity (Optional)

If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage.
No information you provide will be used in a discriminatory manner.
Are you Hispanic or Latino? No

Select one or more of the following races: [ ] American Indian or Alaska Native
[ ] Asian
[X] Black or African American
[X] Native Hawaiian or Other Pacific Islander
[ ] White

Your Plans

I will be attending SIUE: Right after high school graduation

When do you plan to enroll? Summer 2021
What are you interested in studying? Nursing
If you're not sure, that's OK; just select "Still Deciding." SIUE offers direct entry, allowing qualified freshmen direct admission into some programs, including
the Schools of Business; Education, Health and Human Behavior; Engineering; and Nursing, as well as conditional entry to the School of Pharmacy.

Do you plan to apply for on-campus housing? Yes

High School

Name East Saint Louis Senior High School

Address 4901 State St
City
East Saint Louis
State/Province IL
ZIP/Postal Code 62205-1356
Country US

Graduation Date 05/2022

High School Counselor

Please provide the following information about your high school counselor. Once you submit your application, an email will be
sent to your counselor alerting him or her to the steps required to help you complete your application.

Counselor First Name Latongia

Counselor Last Name Spencer
Counselor Email Address Latongia.spencer@estl189.com

Homeschooling

Are or were you currently homeschooled? No

Dual Enrollment

Are or were you dual enrolled in college Yes

classes while still attending high school?

Almost finished, Karla!

Once you submit your application, you will be able to:

Download/Print your application.
Email the Official Document Request to your counselor.
Request your official test scores (optional).
Pay your application fee (if applicable).

Final Steps

Have you been convicted of a felony? No

[X] I understand that withholding information requested on this application or giving false information may make me
ineligible for admission to the University or subject to dismissal. I certify that the statements I have made on this
application are correct and complete. I understand that SIUE reserves the right to rescind an offer of admission if a
student engages in behavior that reflects negatively on his or her character and/or ability to successfully participate in
the SIUE community. I grant my high school(s) and college(s)/university(ies) permission to send my official transcript(s)
directly to Southern Illinois University Edwardsville.