University of Southern Mississippi Completion

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Application File Created For:

Daudreanna Baker
DeDe,
Thanks (yet again!) for submitting your Gold Standard Application to The University of Southern
Mississippi. Before I can get started on your two-week admission decision, Ill need you to take a few
steps to complete your application:

Step 1: Print this package and save it for your future records

This includes your application as filed and a copy of your Official Document Request.

Step 2: Take your Official Document Request to your guidance counselor

Please take the following form to your guidance counselor and ask that your transcript(s) and appropriate
materials be submitted ... and soon!

Step 3: Pay your application fee

Please pay your $40 application fee by returning to your application at www.choose-usm.org/apply or by
sending a check or money order to the following address:
Office of Admissions
The University of Southern Mississippi
118 College Drive #5166
Hattiesburg, MS 39406

Step 4: Send us your test scores

Please have your scores forwarded to us from the appropriate testing agency:
For SAT scores, go to www.collegeboard.org. Our code is 1479.
For ACT scores, go to www.act.org. Our code is 2218.
Thanks again for submitting your application!
Kate Howard
Assistant Vice President and Dean of Admissions
P.S. If you havent already visited us (or if you have and you just cant wait to come back), I invite you to
visit us at our Hattiesburg or Gulf Park campuses! Just give us a call at 601.266.5000.

OFFICE OF ADMISSIONS
118 College Drive #5166 | Hattiesburg, MS 39406-0001

Official Document Request


Student:
 o complete your application, please sign and date this request and deliver it to your school counselor
T
immediately. That way, we can give you our fastest admission decision.

Daudreanna Baker
PO Box 1518
Hazlehurst, MS 39083

Student release and waiver status:


I waive my right to review or access letters and statements of recommendation written on
NO
my behalf. YES
By signing below, I grant my high school permission to release my transcript(s) to
The University of Southern Mississippi.

Daudreanna Baker
STUDENT NAME

08/17/2016 02:38
DATE

Counselor:
Your student referenced above has just submitted an application for admission to Southern Miss. Please
take a moment to send us the following document(s) at your earliest convenience:

Official high school transcript(s)

Upload the documents now.


For your convenience, you can send documents electronically right now with SENDedu,
a secure document transfer service with more than 128,000 accounts. Simply go to
SENDedu.org/login, enter the student PIN below and create an account (if you havent already).

Student PIN: HPHJRW3L4


Or you may mail documents:

Mailing Address: Office of Admissions, The University of Southern Mississippi, 118 College Drive #5166
Hattiesburg, MS 39406

Thank you for your prompt attention in submitting these documents.

1479AI0001

The University of Southern Mississippi - Gold Standard Application

Personal Information
First Name

Daudreanna

Middle Name

Delunye

Last Name

Baker

Preferred Name

DeDe

Home Phone

601-552-9538

Cell Phone

601-552-9538

[X] I give permission to The University of Southern Mississippi to send me important updates via text messaging. (Standard
message charges apply.)

Email Address

bdaudreanna@gmail.com

Date of Birth

06/20/2000

Gender

Female

Your Address
Permanent Address
Address Line 1

PO Box 1518

Address Line 2
City

Hazlehurst

State/Province

Mississippi

ZIP/Postal Code

39083

Country

United States

Is your mailing address the same as your


permanent address?

No

Mailing Address
Address Line 1

Daudreanna Baker-MSMS

Address Line 2

1100 College Street MUW- #1206

City

Columbus

State/Province

Mississippi

ZIP/Postal Code

39701

Country

United States

Mailing Address Effective Until

05/10/2017

Your Family

To whom should we send information?

One Parent/Guardian

Parent 1/Guardian 1
Relationship to You

Mother

Title

Mrs.

First Name

Lillian

Last Name

Tillman

Email Address

mrstillman@ymail.com

Phone Number

601-717-0256

Phone Type

Cell

What is the highest level of education this


parent/guardian attained?
Is this parent's/guardian's address the same as
your permanent address?

Associate's Degree
Yes

Citizenship
Please select your citizenship 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:

[ ]
[ ]
[X]
[ ]
[ ]

American Indian or Alaska Native


Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Your Plans
What are you interested in studying?

Psychology

If you're not sure, that's OK; just select "Undeclared - General Studies."

Select a campus.

Hattiesburg

High School
Name

Mississippi School Math Sci

Address

1100 COLLEGE ST MUW 1627

City

COLUMBUS

State/Province

MS

ZIP/Postal Code

39701-5821

Country

US

Graduation Date

05/2018

High School Counselor


Please provide the following information about your high school guidance 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

Heath

Counselor Last Name

Stevens

Counselor Email Address

hstevens@themsms.org

Grades & Scores


GPA
What is your GPA to the nearest decimal?

3.78

What GPA scale is used?

4-Point Scale

SAT
Did you take the SAT?

No

When will you be taking the SAT?

10/2017

ACT
Did you take the ACT?

Yes

ACT Composite Score

27

Almost finished, DeDe!


Once you submit your application, you will be able to:
Download/Print Your Application
Print an Official Transcript Request to Take to Your Counselor
Submit Your Official Test Scores
Pay Your Application Fee

Final Steps
Have you been convicted of a felony?

No

Have you been suspended from any school?

No

I waive my right to review or access letters and


Yes
statements of recommendation written on my
behalf.
[X] I certify that the information on this application is complete and correct, and I understand that the submission of false
information is grounds for denial of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or

any appropriate disciplinary action. I authorize the University to verify the information I have provided with all the
schools I have attended. I agree to notify the proper officials of the institution of any changes in the information
provided. I give my high school(s) permission to send my official transcript(s) directly to The University of Southern
Mississippi.

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