Application for Admission

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1 Applicatio for Admissio Admissio Office PO Box 2900 Illiois Wesleya Uiversity Bloomig, Illiois Apply o-lie at: Applicatio Iformatio I am applyig: Early Actio Regular Decisio Early Actio is a o-bidig admissio program. Studets with completed applicatios, icludig all compoets, by November 15th will be guarateed a decisio (admit, dey, or defer) by Jauary 15th. Regular Decisio applicatios ca be completed at ay time, ad admissio decisios are received after Jauary 15th through the first week of April. Persoal Iformatio Legal Name Last First Middle Social Security Number Prefer be called (ickame) Geder: Male Female Birthdate / / Home Address Phoe ( ) Cell Phoe ( ) Religious Affiliatio (optioal) Primary address Ca we use this address for reliable commuicatio? Yes No U.S. Citizeship: Yes No If o, Permaet U. S. Residet Other Visa type Coutry Primary laguage spoke at home Do you wish be idetified as Hispaic/Latio? Yes No If you wish be idetified with ay other particular ethic group, please check oe or more of the followig: Asia Black or Africa America Native Hawaiia or Other Pacific Islader White EDUCATIONAL INFORMATION America Idia or Alaska Native Graduatio from Secodary School Moth/Year of graduatio Address My School is: Public Private Parochial Home School Secodary School couselor Couselor s Office Phoe ( ) Couselor s Work

2 Academic INFORMATION Secodary school rak out of My school does ot rak. Weighted Cumulative GPA o a scale My school does ot weight grades. SAT I Critical Readig Math Writig Test Date ACT Composite Writig (optioal) Test Date Are you a IB diploma cadidate? Yes No If applicable, please check: Natioal Achievemet Natioal Hispaic Natioal Merit Semi-Fialist If you are curretly attedig secodary school, list below all courses for which you will receive credit this academic year. PLEASE NOTE: Evaluatio of your admissio file will cosider all course work completed (or attempted), icludig your fial semester. You are expected otify the Admissio Office of ay chages i course work or ay discipliary actios. If you believe that ay special circumstaces have sigificatly affected your academic record, please attach a ote of explaatio. Check here if you are takig a block schedule. First Term Secod Term Third Term (if applicable) Employmet, Extracurricular, Persoal, ad Voluteer Activities (icludig summer) Please list your pricipal extracurricular ad commuity activities, hobbies, ad work experiece. Iclude specific evets ad/or major accomplishmets such as musical istrumets played, varsity letters eared, etc. Check i the right-had colum those activities you hope pursue i college. To allow us focus o the highlights of your activities, please complete this sectio eve if you pla attach a résumé. Grade/Year Approximate time spet Positios held, hoors wo, Pla pursue Activity Hrs/week Weeks/year or letters eared i college Have you ever bee dismissed or suspeded from school, or arrested for aythig other tha a traffic violatio? If the aswer is yes, check the box below ad explai o a separate sheet. If, after you have submitted this form, ew circumstaces alter your status at school, you must otify the Admissio Office as soo as possible. Yes No Trasfer Studets Oly, list i chroological order all colleges ad/or uiversities you have previously atteded. You are also resposible for forwardig the Admissio Office official trascripts of all secodary school ad college work. Name of Istitutio City ad State Dates Atteded

3 CURRICULUM INFORMATION I pla atted: full time part time I pla begi: Fall Sprig, Possible career or professioal plas Year How did you hear about IWU? Have you visited campus? Yes No Reaso for visit/campus evet Approximate visit date Please idicate, i order of choice, your possible area(s) of academic study from the list below. If ucertai about your field of iterest, list Udecided first. If you are iterested i pursuig a pre-professioal cocetratio, also check the appropriate box below. Note: You will still eed idicate a area of study College of Liberal Arts Accoutig Educatioal Studies Evirometal Studies Foreig Laguage Philosophy America Studies Elemetary Available cocetratios: Frech Physics Athropology Secodary Ecology Germa Political Sciece Art (BA) subject area Evirometal Chemistry Hispaic Studies Psychology Biology Eglish Evirometal Policy Greek ad Roma Studies Religio Busiess Literature Evirometal Toxicology Hisry Risk Maagemet Chemistry Writig Iteratioal Evirometal Sustaiability Iteratioal Studies Sociology Computer Sciece Mathematics Theatre Arts (BA) Ecoomics Music (BA) *# Wome s Studies College of Fie Arts I. School of Art II. School of Music III. School of Theatre Arts Art (BFA)* Music Educatio (BME)*# Actig (BFA)* Performace (BM)*# Desig ad Tech (BFA)* Theory & Compositio (BM)*# Music Theatre (BFA)* * Auditio or portfolio is required. # Primary istrumet ad (years of study) ( ) Secodary istrumet ( ) School of Nursig Nursig (BSN) PRE-PROFESSIONAL CONCENTRATIONS: Pre-Detistry Pre-Law Pre-Egieerig Pre-Medicie Pre-Forestry Pre-Occupatioal Therapy Pre-Physical Therapy Pre-Veteriary Scieces FINANCIAL INFORMATION Will you be applyig for eed-based fiacial assistace? Yes No The FAFSA, alog with either the IWU Fiacial Aid Applicatio or the CSS PROFILE, must be filed for eed-based fiacial aid. Whe filig the FAFSA, studets should desigate Illiois Wesleya Uiversity (Title IV code umber ) receive the results. Deadlie for filig these forms is March 1. The Uiversity will use this applicatio for admissio ad your official high school trascript for merit-based scholarship evaluatio.

4 FAMILY INFORMATION If ot with both parets, with whom do you make your permaet home? Paret Oe Mr. Mrs. Ms. Stepparet Yes Guardia Name U.S. Citize? No Last First Middle Iitial Coutry Address (if differet from yours) Occupatio Employer Title/Positio Daytime Phoe ( ) address college atteded Degree professioal or graduate school atteded Degree Paret Two Mr. Mrs. Ms. Stepparet Yes Guardia Name U.S. Citize? No Last First Middle Iitial Coutry Address (if differet from yours) Occupatio Employer Title/Positio Daytime Phoe ( ) address college atteded Degree professioal or graduate school atteded Degree Paret Oe: Livig Paret Two: Livig If both parets are livig, idicate marital status: Deceased/date Deceased/date Married Separated Divorced Never Married Please provide siblig iformatio below. If they have atteded college, give the ame of the istitutio(s) atteded ad approximate dates. Name Relatioship Age School attedig/atteded Curret year i school Relatives ad/or frieds who have atteded or are attedig Illiois Wesleya Uiversity Name Relatioship Dates

5 PERSONAL STATEMENT O a separate sheet, i oe paragraph, please describe your specific iterest i attedig Illiois Wesleya. PERSONAL ESSAY The essay is a importat facr i evaluatig applicats for admissio. Please carefully review the followig four pics, ad select the oe that you feel will best help us uderstad your potetial as a member of the Illiois Wesleya Uiversity commuity. Recommeded essay legth is approximately two pages typed ad double-spaced. Please be sure your ame is o each page. 1) Please describe what you evisio your college experiece will be like i terms of your academic ad extracurricular iterests. What are you hopig accomplish durig your time i college? 2) Please write a opiio essay o a curret local, atioal or iteratioal issue. 3) Former IWU Presidet Mior Myers jr. loved ask studets, What s your passio? To this day, IWU remais committed helpig studets pursue their passios. So tell us: What is your passio, ad why? 4) Please write o a pic of your choice that you feel will covey importat iformatio about you the Admissios Committee. miscellaeous This sectio is optioal. It is ot evaluative but desiged be fu ad help us get kow you better. Favorite activity? Favorite movie? Favorite fictioal character? Who or what ispires you? Favorite book? Favorite musical artist? Favorite TV program? What word best describes you? What makes you laugh? Please ote that IWU reserves the right revoke a offer of admissio should your fial trascripts reflect usatisfacry work. Beig dismissed or expelled from your secodary school is grouds for revocatio of a admissio offer. The udersiged hereby certifies that the iformatio provided is accurate ad complete ad agrees comply with the curret policies ad regulatios pertaiig the academic ad social life of Illiois Wesleya studets as stated i the Uiversity Catalog. Applicat s Sigature Date Illiois Wesleya Uiversity does ot discrimiate o the basis of age, race, religio, sex, sexual orietatio, disability, or atioal origi i its admissios policies, educatioal programs ad activities, or employmet policies. Illiois Wesleya expressly recogizes the requiremets of Title IX legislatio ad complaits should be reported the Uiversity s Title IX coordiar, who is the Executive Assistat the Presidet (Susa Bassi, Holmes Hall 204, ). 6/11

6 Recommedatio Form Studet Iformatio Studet Name Last First Middle Address Street City State Zip High School Recommeder Iformatio Illiois Wesleya Uiversity appreciates your iput i assistig us with the evaluatio of cadidates for admissio. We are primarily iterested i whatever you thik is importat about the applicat s academic ad persoal qualificatios for college. Thak you. Recommeder Name Positio High School School Address Recommeder Phoe ( ) Sigature Date Evaluatio How log have you kow this studet ad i what cotext? What are the first words that come your mid describe this studet? Compared other studets, how do you rate this studet i terms of: Very Good Oe of the p Below Good (well above Excellet Outstadig ecoutered No Basis Average Average (above average) average) (p 10%) (p 5%) i my career Creative, origial thought Motivatio Self-cofidece Idepedece, iitiative Itellectual ability Academic achievemet Writte expressio of ideas Disciplied work habits Potetial for growth Please put ay additioal commets below or o the back of this form. You may also attach a separate letter of recommedatio. Office of Admissios 1211 Park Street Post Office Box 2900 Bloomig, Illiois

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