Personal Information
Do you have an active TS/SCI Clearance?
Not Cleared
SSN
3333
Prefix/Rank
Mr.
First Name
John
Middle Name
MiddleName
Last Name
Smith
Suffix
Sr.
Other Last Name(s) Used
Other
Personal Email
test.script@testscript.site
Date of birth (mm/dd/yyyy)
01/01/1995
Gender
Male
Are you Hispanic or Latino?
No
Race
White
Contact information
Mailing Address
StreetName
City
CityName
Zip Code
12345
State
CO
Work Email (Unclassified)
work.email.unclassified@testscript.site
Work Email (Classified)
work.email.classified@testscript.site
Work Phone (Secure)
+1 11-22222
Mobile Phone
+1 5551112222
Work Phone (Unclassified)
5553334444
Program Information
Which program are you applying to?
Bachelor of Science
Select Program Cohort
Master of Science - In Residence
Select Concentration
Middle East
How did you hear about the National Intelligence University?
Google Search
Employment Information
Which Federal Government department/agency/office or military service, reserve/guard unit do you work for?
Department of ServiceName
What is your position title?
IT
Which Agency?
AgencyName
What is your current status?
BranchName
What is your career field?
IT
What is your military/federal pay/grade/band?
A-000-AA
How many years of military and/or federal service do you have?
3
Academic Information
Highest degree earned
High School Diploma
List Earned Degrees
Degree
PhD
Institution
CollegeNameOne
City
CityOne
State
GA
GPA
3.5
Date Completed
01/2015
Degree
High School Diploma
Institution
CollegeNameTwo
City
CityTwo
State
AL
GPA
3.6
Date Completed
01/2012
Degree
High School Diploma
Institution
HighschoolName
City
CityThree
State
Yorkshire
GPA
3.7
Date Completed
01/2010
GRE Scores / All Relevant Examinations/Test Scores:
Institution
InstitutionOne
City
CityFour
State
CO
Examination/ Test
TestNameOne
Examination Test Score
9
Institution
InstitutionTwo
City
CityFive
State
IN
Examination/ Test
TestNameTwo
Examination Test Score
9.2
Institution
InstitutionThree
City
CitySix
State
KY
Examination/ Test
TestNameThree
Examination Test Score
9.6