CASAA Personal Information

CASAA Personal Information
This section is used to gather your biographic and contact information, as well as citizenship, race/ethnicity, and other information.
  • CASAA Release Statement
    Review and confirm your agreement with CASAA's release statement(s).
  • Biographic Information
    Provide information about your name(s), gender, and date and place of birth.
  • Contact Information
    Provide the address, phone number, and email you want CASAA and your program(s) to use to contact you.
  • Citizenship Information
    Provide information about your US citizenship status, including country of citizenship, legal state of residence, and visa details and status.
  • Race & Ethnicity
    Provide optional information about your race and ethnicity (to be used for statistical purposes only).
  • Family Information
    Provide your parent(s) or guardian(s) demographic information.
  • Environmental Factors
    Provide information about environmental factors that you'd like CASAA to consider, such as your childhood residency and family situation.
  • Other Information
    Provide additional information, such as language(s) spoken, military status, convictions and infractions, health professions specific details, etc.