University Admission Application

UNIVERSITY ADMISSION APPLICATION

Application Type

Please indicate the program level for which you are applying. Select all that apply.

Undergraduate Graduate Transfer Non-degree / Certificate

Student Information

Full Legal Name:

Date of Birth:    Student ID (if known):

Contact Information

Email:    Phone:

Citizenship and Residency

Citizenship Status: U.S. Citizen Permanent Resident International / Non-immigrant

In-state residency for tuition purposes: Yes No

Academic History

High School or Most Recent Institution:

Degree/Certificate Earned (if any):    Graduation Date:

Cumulative GPA (scale):

Program Selection

Degree Objective:

Proposed Start Term: Month Year

Standardized Tests and Additional Materials

Test Scores (enter score or leave blank if not submitting):

SAT:    ACT:    TOEFL / IELTS:

Financial and Accommodation Questions

Will you apply for institutional financial aid? Yes No

Emergency Contact

Relationship:    Phone:

Declarations, Authorizations, and Certifications

By submitting this application I certify under penalty of law that the information provided on this application is true, accurate, and complete to the best of my knowledge. I understand that falsification, omission, or misrepresentation of information is grounds for denial of admission or subsequent disciplinary action, including revocation of admission or degree.

I authorize all schools, colleges, and other institutions listed on this application to release transcripts, test scores, and other academic records to the University for purposes of evaluation. I further authorize the University to verify any information provided on this application and to request supplemental documentation where necessary.

I understand that admission is conditional upon verification of credentials, timely receipt of required documents, and review by the appropriate admissions committee. I acknowledge that application fees are non-refundable and that submitted materials become the property of the University and will not be returned.

FERPA and Privacy: I acknowledge that the University maintains educational records in accordance with applicable law and that I may be asked to provide written consent prior to release of certain directory or non-directory information, except where disclosure is permitted or required by law.

Consent to Contact: I consent to be contacted by the University via email, phone, or postal mail regarding application status, enrollment steps, and financial obligations.

I acknowledge and agree to the declarations, authorizations, and certifications above.

I authorize the release of official transcripts and test scores to the University as required for admission review.

Parent / Guardian Information (if applicant is a minor)

Relationship to Applicant:    Phone:

Certification and Signature

I certify that I am the person named in this application and that I have read and understood the statements contained in this application. I understand that signature constitutes a legally binding attestation that the information provided is complete and accurate.

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