Undergraduate Application for Admission and Scholarships

Transcription

1 Undergraduate Application for Admission and Scholarships Please identify the type of student you would like to be at Bellarmine and provide the Office of Admission with the information listed below. Note: It is the student s responsibility to request all transcripts. An official transcript is one that is mailed directly from the institution to Bellarmine University s Office of Admission and should not be marked issued to student or addressed to the student. For more information, contact the Office of Admission at or ext Please note that the Office of Admission reserves the right to request additional information or a personal interview. Which type of student will you be? Degree International Visiting Non-Degree Readmit Audit Degree Student A degree student who wishes to seek formal admission to Bellarmine to pursue a Bachelor s on a full or part-time basis. The following items are required: A non-refundable $25 application fee (payable to Bellarmine University). For students who have earned more than 60 credit hours, an official transcript from each college/university attended is required. For students who have earned between 24 and 60 credit hours, an official high school transcript or GED score and an official transcript from each college/university attended is required. For students who have earned fewer than 24 credit hours Ì of college course work: x An official high school transcript or GED score and an official transcript from each college or university attended is required. x Official ACT or SAT scores are required of applicants who have been out of high school five years or less. x Statement of Purpose (200 words, typed) outlining academic and professional goals. For students for whom English is their second language, a TOEFL, IELTS or MELAB score is required. International/Non-citizen In addition to the requirements for a degree seeking student, International/non-citizen students must also submit the following: Two letters of recommendation from an instructor. Statement of purpose (200 words, typed) outlining academic and professional goals. Financial documentation. Official test scores (ACT, SAT, TOEFL, MELAB, or IELTS). Visit for more information. Visiting Student A visiting student is a student who is formally admitted and enrolled at another college or university and wishes to take classes at Bellarmine. The following items are required: For students taking upper division courses, an unofficial transcript is required to determine if pre-requisite courses have been met. Non-Degree Student A non-degree student is a student who does not seek formal admission to Bellarmine for a degree, but who would like to enroll for classes. A student may register for one semester of classes on a part-time basis without having a complete file. To register for a second term, the student must follow the application procedures for a degree student as listed previously (additional $25 fee and official transcript(s) are not required). The following items are required: A non-refundable $25 application fee (payable to Bellarmine University). For students taking upper division courses, an unofficial transcript is required to determine if pre-requisite courses have been met. For students for whom English is their second language, a TOEFL, IELTS or MELAB score is required. A minimum total score of 80 on the internet-based TOEFL (reading, listening, writing & speaking), 6 on the IELTS and 78 on the MELAB is required. Readmit Student A readmit student is a student who has previously attended Bellarmine. The following items are required: Official copies of transcripts from all schools attended since last admission to Bellarmine. Audit Student An audit student is a student who wishes to enroll in class at Bellarmine but does not earn college credit. Audit students pay a third of tuition and are not responsible for class assignments or tests. The following items are required: A non-refundable $25 application fee (payable to Bellarmine University). For students taking upper division courses, an unofficial transcript is required to determine if pre-requisite courses have been met.

2 This application is for: Fall of 20 Spring of 20Ì Ì Summer of 20 I will be attending as a: Full-Time Student Part-Time Student I plan to (indicate one): Live on Campus Commute All applicants are considered for institutional scholarships and grants. Do you also intend to apply for federal and state need-based financial assistance (work-study, grants, loans)? Yes No Personal Data Name FIRSTÌ Ì Ì MIDDLE Ì Last Jr., etc. MAIDEN Preferred Name Social Security Number * Gender *Required if applying for Federal or State financial aid Date of Birth Place of Birth CITYÌ Ì County State/PROVINCEÌ Ì ÌCountryÌ If you presently live in Kentucky, please give us the name of your county Permanent Address Street Address CITYÌ Ì Ì COUNTYÌ Ì Ì State/PROVINCEÌ Ì Zip CODEÌ Ì ÌCountryÌ Citizenship U.S. Permanent U.S. Resident Non U.S. Citizen If you are not a U.S. citizen, what is your country of citizenship? What is your current country of residence? Is English your first language? Yes No If no, what is your first language? Home Phone ( ) Work Phone ( ) Extension Cell Phone ( ) Address I am open to being contacted by Bellarmine University via text messaging. Yes No (Standard messaging charges apply.) Will you be applying for assistance through the Veteran Administration? Yes No Will tuition be subsidized by your employer? Yes No

3 educational data Please mail official transcript(s) directly to Bellarmine University. An official transcript should not be marked issued to student or addressed to the student. High School Graduation Date Address City County State/Province Zip Code Country Have you taken the GED? Yes No Date of GED certificate Are you currently enrolled or have you been enrolled in Bellarmine s ACES program? Yes No Have you previously applied to Bellarmine? Yes No If yes, were you admitted? Yes No Did you enroll? Yes No Please list all colleges and/or universities you have attended. college or university dates attended city state Degree or diploma received date received college or university dates attended city state Degree or diploma received date received college or university dates attended city state Degree or diploma received date received test information Please list the test scores you have received for each exam. Or list the date you are scheduled to take the exam. ACT Date taken/to be taken SAT Date taken/to be taken TOEFL Date taken/to be taken IELTS Date taken/to be taken MELAB Date taken/to be taken

4 academic interests Intended Major or Undeclared Intended Minor(s) Intended Pre-Professional Program(s) Are you seeking a post-baccalaureate accounting certificate? Yes No Are you seeking a four-year undergraduate degree at Bellarmine University? Yes No Are you currently enrolled at another college/university but wish to take a class(es) as a visiting student? Yes No optional information Religious Affiliation Ethnicity Are you Hispanic or Latino? Yes No In addition, select one or more of the following racial categories to describe yourself: American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White

5 Essay If you have never attended a college or university, you have fewer than 24 college credit hours, or you are an international student, an essay is required. Please write a 200 word essay (minimum) in the space below or attach a separate, typed essay. Please describe your interests, achievements, experiences and goals and why you are interested in attending Bellarmine University.

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7 Background Data Have you ever been dismissed from a college or univerity for academic reasons? Yes No Have you ever been dismissed from a high school, college or university for disciplinary reasons, or been sanctioned by a disciplinary board? Yes No If yes, from where? If you answered yes to the last question, a release will be mailed to you. You must sign and complete the form and mail it back to the Office of Admission at Bellarmine University one month prior to the first week of classes. This form will be mailed to your current Dean of Students asking for an explanation of the sanction and circumstances. Have you ever been convicted of a felony? Yes No If you answered yes to either of the last two questions, please explain on a separate sheet of paper how you were held accountable (i.e., outcomes, sanctions), when the incident occurred and any additional information you wish to provide. Please note that we may need to request additional information. Signature of applicant I declare that the information provided on this form is true, correct and complete. Bellarmine University has my permission to verify information by obtaining documents as needed. I understand that providing false information may result in Bellarmine University revoking a student s status as an accepted or enrolled student. Bellarmine does not require an essay from everyone; however, Bellarmine does reserve the right to request a writing sample from applicants. The Admission Office will contact me if one is needed. Also, I grant Bellarmine University or its appointee(s) permission to post my personal and academic information on Bellarmine s secured, password protected intranet and student portal. Signature Date Bellarmine University admits qualified students of any age, sex, sexual orientation, race, color, religion, or national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of age, sex, sexual orientation, race, disability, color, religion, or national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs. Bellarmine University is an Affirmative Action-Equal Opportunity employer. Go to or call or to schedule a visit. Apply online at

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