HACU

*Required fields

New Candidate Information

*Session

Fall 2025 (2025)

*Quarter / Semester

Does your college or university operate on a quarter or semester academic calendar?

Prefix (Dr., Mr.,
Ms., etc.)

*First Name

Middle Name

*Last Name

Suffix (Jr., Sr., etc.)

*Email

Alternate Email

*Citizenship Status

Are you a veteran?

Yes No

Have you been convicted of a crime?

Yes No

If yes, please explain.

Previous Security Clearance

Yes No

Previous Security Clearance Type

Previous Security Clearance Date

/ (mm/yyyy)

*Do you have a driver's license?

*Password

*Confirm Password

Permanent Address

*Address

Address2

*City

(Type few letters and select from list)

*State

*Country

*Postal Code

*Phone

Mobile Phone

Current Address

Same as Permanent

Address

Address 2

City

State

Country

Postal Code

Phone 2

Valid Until

/ / (mm/dd/yyyy)

HACU

Support

Employment

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National Headquarters

Washington, D.C. Office

Western Regional Office

Midwestern Regional Office