*Required fields

New Candidate Information

*Session

Summer 2021 (2021)

Fall 2021 (2021)

*Quarter / Semester

Does your college or university operate on a quarter or semester academic calendar?
Select "Quarter" if your school operates on a quarter calendar schedule and CANNOT participate on regular semester session dates during the summer session (Fall and Spring do not have quarter dates).
Select "Semester" if you can participate on regular semester session dates. Refer to our Internship Dates for more information.

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

*First Name

Middle Name

*Last Name

Suffix (Jr., Sr., etc.)

*Email

Alternate Email

*Social Security Number

Ethnicity

Gender

*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)

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San Antonio, TX

8415 Datapoint Dr. Suite 400
San Antonio, TX 78229
210-692-3805 (Voice)
210-692-0823 (Fax)
hacu@hacu.net

Washington, D.C.

One Dupont Circle N.W.
Suite 430
Washington, D.C. 20036
202-261-5080 or 202-467-0893 (Voice)
202-496-9177 (Fax)
hnip@hacu.net

Sacramento, CA

1107 9th Street, Suite 830
Sacramento, CA 95814
916-442-0392 (Voice)
916-446-4028 (Fax)
wro@hacu.net

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