1. Ronald W. Reagan 9 Jan 15 Make sure you have all documentation Use BLACK INK when completing forms

2. Reagan, Ronald W. 123-45-678902/06/1911 X X X Tampico, IL 0 University of North Texas 2345678915 May 2018 Economics 668 St. Cloud Los Angeles, CA 90077 (123) 456-7891 Ronald.Reagan@yahoo.com Nelle Reagan (mother) (123)456-9871 X X X X X 26 E-8 X Maple Hall, Room 201 1621 Maple Street Denton, Texas 76201 (123) 456-7891 carefully read and complete (“each” block) Front and Back of this Form ***EXAMPLE ONLY*** See next slide to complete back of form X X X X X X X X X X X X X

3. X DO NOT SIGN OR DATE!

4. Please read thoroughly

5. DO NOT SIGN OR DATE! Please read thoroughly

6. DO NOT SIGN OR DATE! Please read thoroughly Ronald W. Reagan

7. “INITIAL” Each block Only Select one ***EXAMPLE ONLY*** Initial here if you have NO dependents X RR DO NOT SIGN OR DATE!

9. Ronald W. Reagan Select only one Enter the word “NONE” here if you have had NO incidents or involvements with civil / school / military authorities or law enforcement officials NONE XX DO NOT SIGN OR DATE! USE THIS SLIDE IF YOU HAVE HAD NO INCIDENTS OR INVOLVEMENTS WITH CIVIL / SCHOOL / MILITARY AUTHORITIES OR LAW ENFORCEMENT OFFICIALS ***EXAMPLE ONLY*** (IF YOU HAVE HAD INCIDENTS USE THE NEXT SLIDE)

10. USE THIS SLIDE IF YOU HAVE HAD INCIDENTS OR INVOLVEMENTS WITH CIVIL / SCHOOL / MILITARY AUTHORITIES OR LAW ENFORCEMENT OFFICIALS ***EXAMPLE ONLY*** (IF YOU HAVE HAD “NO” INCIDENTS USE THE PREVIOUS SLIDE) Ronald W. Reagan Select only one bring documents (copies of tickets, court findings) relating to the major incidents you list Speeding ticket: speed limit was 35, I was going 45 18 Mar 07 Fort Worth Police Department Attended defensive driving, and paid fine of $125.00 TCU Police 24 Sep 05 Parking Ticket Paid fine of $50.00 Unsafe driving, racing, dui 8 Oct 03 California Odessa Police Department Suspended License, Paid fine of $2,500.00 X X DO NOT SIGN OR DATE!

11. DO NOT COMPLETE/FILL OUT BACK OF THIS FORM

12. Read each Section carefully and answer “TRUTHFULLY” by “INITIALING” each block ***EXAMPLE ONLY*** DO NOT SIGN OR DATE! RR

13. DO NOT COMPLETE/FILL OUT BACK OF THIS FORM DO NOT SIGN OR DATE!

14. Ronald W. Reagan 9 Jan 15

15. Ronald W. Reagan 9 Jan 15 Your University DO NOT SIGN OR DATE!

16. Please read thoroughly

17. DO NOT SIGN OR DATE! Ronald, Reagan W. 123-45-6789 Los Angeles, California

18. Complete blocks 1 – 8b, place “NA” for those items not applicable to you ***EXAMPLE ONLY*** Ronald, Reagan W.123-45-6789 X N/A X Reagan, Jack E Reagan, Nelle W N/A 123 Rosewood Dr., Denton, TX 76201 (123) 456-9871

19. Jack E. Reagan Father 123 Rosewood Dr., Denton, TX 76201 (123) 456-9871 Nelle W. Reagan Mother 123 Rosewood Dr., Denton, TX 76201 (123) 456-9871 50% (cont. back of DD Form 93) ***EXAMPLE ONLY*** Nelle W. Reagan Mother 123 Rosewood Dr., Denton, TX 76201 (123) 456-9871 100% DO NOT SIGN OR DATE!

20. DD Form 93 Directions Please Read Thoroughly

21. DD Form 93 Directions Please Read Thoroughly