Admission Application

Program Information

 

Academic Program

 

Courses Offered

 

Personal Information

Please enter your name as it appears on your passport or other official documents.
 

Permanent Address

Please give your current address for all admission correspondence, if different from above.
 

Current Mailing

 

Citizenship

 
 

Ethinicity

Race/Ethnicity information is optional. Information you provide will not be used in a discriminatory manner.
How would you describe your racial background? (select one of more of the following categories):
 

Academic Information

List any academic experience (including professional training) during the last three years.
Educational Institution
Program/Courses
Dates of Attendance
Graduated (Yes/No, Graduation Date)
 

Academic Distinctions

Please list any academic or educational awards and honors you have received in your academic career.
 

Employment Information

List any work experience (including summer jobs) during the past three years.
Employer
Title/ Job Description
Dates of Employment
Hours per week
 

Activity Description

Tell us more about one of your extracurricular, volunteer, or employment activities (100-150 words). If you need more space, please attach your response to the end of the application.
 

Multimedia Information

Optional: You may provide us with a link to any online content if you feel that this content tells us more about yourself, demonstrates a particular talend you possess or highlights an activity in which you participated.
 

Additional Information

If you have additional information that was not specifically requested on the application or did not fit in the space provided, feel free to include it here.
If you need more space, please attach your response to this end of this application.
 

Discipline Information

Have you ever been placed on probation, suspended, removed, dismissed or expelled from any school or academic program since 9th grade? Yes/No
Other than traffic offences, have you ever been convicted of any misdemeanor or felony? Yes/No
If you answered yes to either question, please provide an explanation and the approximate dates of each incident. Please attach your response to the end of the application.
 

Disclaimer

The data you are providing is secure and if you are not comfortable giving the information online you can reach us to discuss.
Reach us at: Phone: 360-208-0560
 

Authorization

Your signature below
  1. authorizes all educational institutions you have previously attended to provide any requested records and allow review of your application for the admission process chosen on this application.
  2. confirms all information in this application (including any supplemental information) is factually true and honestly presented and that you are the person submitting this application.
Signature of applicant
Date