Slippery Rock UNIVERSITY. application

Transcription

1 Slippery Rock UNIVERSITY application General Instructions for all Applicants Please type or print in ink all portions of this application, making certain the fields are complete. An admission decision will not occur if any required information has been omitted. Only the applicant should fill out the application. Make sure to include your social security number, birth date and signature. Falsification or misrepresentation of information on the application could lead to dismissal from the University. Instructions for Freshman Applicants The application may be initiated following the completion of the junior year. Secondary School Transcript: It is the applicant s responsibility to arrange to have an official secondary school transcript and test scores forwarded to the Office of Undergraduate Admissions at Slippery Rock University. The secondary school transcript should include your senior year course schedule and grades through the close of the junior year. High school students enrolled in college courses should submit official college transcripts to SRU as soon as they become available. A final, official transcript will be required upon graduation. Required Freshman Testing: All candidates for admission must take either the SAT or ACT test for application consideration. To request that scores be sent directly from the testing service to Slippery Rock University, use code 3716 for the ACT test, and code 2658 for the SAT test. Scores will also be official if included on high school transcripts. For candidates who graduated from high school two or more years prior to the time of application, standardized test scores are not needed unless requested by the admissions committee. G.E.D. Note: Students who have obtained a G.E.D. should provide a copy of the G.E.D. score report and diploma, and an official transcript from all secondary schools attended until the equivalency diploma was earned. Those who previously attended SRU as degree-seeking students, left for any reason and subsequently intend to return to the University, should not complete this application, but instead should apply for Readmission. For additional information, please go the following SRU Web site: Transfer Students Transfer students are those students who have graduated from high school and have subsequently enrolled in post-secondary coursework or attended the military. Transfer students are expected to have achieved a satisfactory grade point average at previous institutions. Students, who for any reason are on academic suspension or dismissal from another institution, will not be given consideration for admission for at least one calendar year after the last semester of attendance. An offer of admission to the University does not necessarily imply an acceptance to the student s chosen major. Application Procedure for transfer students Consideration for admission will be given to those applicants who submit the following: 1. Application for admission and the application fee 2. Official transcripts from each post-secondary institution attended. (Failure to record and submit all transcripts will result in denial of admission or dismissal from the University.) Diploma school nursing students must also submit an official transcript from the institution that provided the general education requirements of their degree. Official transcripts may be sent to the SRU Office of Undergraduate Admissions electronically from the transfer institution, or mailed to SRU. Faxed documents are not acceptable. 3. Official score reports (AP, CLEP) and military transcripts, if applicable. 4. High school transcript (for students who have attempted less than 30 credits) G.E.D. Note: Students who have obtained a G.E.D. should provide a copy of the G.E.D. score report and diploma, and an official transcript from all secondary schools attended until the equivalency diploma was earned. Students offered admission must submit all final transcripts. Failure to do so will result in a hold on registration privileges. Transfer of Credits An official evaluation of transfer credits will be provided to students who have been offered admission and have paid the Enrollment Deposit. Credits are considered for transfer based on the following criteria: 1. College level courses with grades of A, B or C are normally accepted in transfer. Letter grades of D may be accepted from Pennsylvania community colleges and other Pennsylvania State System of Higher Education universities in some circumstances. 2. Courses with grades of P or S are normally accepted. 3. Scores of 3, 4 or 5 on Advanced Placement (AP) exams are acceptable for college credit. 4. Courses earned through credit by examination are normally accepted in transfer. 5. There is no limit to the number of credits a student may transfer; however, the student must meet all graduation requirements. Graduation Requirements 1. All undergraduate degree programs require a minimum of 120 credits. 2. All first baccalaureate degree students will take at least 30 of their last 60 credits at SRU; the University may not require the student to take more than 30 credits. All first baccalaureate students will take at least 50% of the credits required for the major from a PASSHE University. SRU may require up to a maximum of 50% of the Major credits. 3. Students must complete a prescribed number of Liberal Studies credits. 4. Students must complete 48 credits of upper-level coursework. Thirty-nine of the 48 credits must be at the 300 level or higher, the additional 9 credits may include courses requiring a 3-credit prerequisite. At least 24 of the 48 credits must be completed at SRU. 5. Students must complete at least half their major (15 credits minimum) in 300 or higher level courses. 6. Bachelor of Arts degrees require language proficiency at the 103 class level. Exemption by placement or examination is possible. Language courses used to satisfy the BA requirement may not be used in the goal section of the global community block of the Liberal Studies Program. 7. Students must complete at least 60 credits at SRU to be considered for Latin honors at the time of graduation. A non-refundable $30 application fee is required. You may pay this fee online or send a check or money order, made payable to Slippery Rock University.

2 Slippery Rock University Academic Majors Please review the following list of Academic Majors/Programs of Study and make one selection based on your strongest interest at this time. (You may change your academic major during future times/semesters and you may also declare double Majors and Minors after you are enrolled at the University.) Enter your choice on page 6 of the application. Pre-professional advising tracks are offered for those undergraduate students who plan to continue their education at MAJOR CODE # NAME OF MAJOR 0000 Exploratory (Undeclared) 2341 Accounting, BSBA 5 04 Art, BA 5305 Art, BFA 6 08 Biology, BA 6101 Biology Professional, BS 6101/6104 Biology Professional w/conc in Bioinformatics, BS 6102 Biology Cytotechnology, BS 6103 Biology Medical Technology, BS 6105 Biology Histotechnology, BS 6101/61P8 Biology / 3+3 Pre-PT (SRU), BS 6101/6PAB Biology Prof, w/conc Pre-Phys Asst (CHATHAM), BS 6101/61LC Biology / 3+3 Pre-Chiropractic (Logan), BS 6101/61PC Biology / 3+3 Pre-Chiropractic (Palmer), BS 6101/61LE Biology / 3+4 Pre-Osteopathy (LECOM), BS 6101/61LP Biology / 2+3 Pre-Pharmacy (LECOM), BS 6101/61PC Biology / 3+3 Pre-Chiropractic (Palmer), BS 6101/61LD Biology / 4+4 Pre-Dental (LECOM), BS 6101/61WD Biology / 4+4 Pre-Dental (WVU), BS 6101/61LO Biology / 4+4 Pre-Osteopathy (LECOM), BS 6101/6SPB Biology / 3+2 Pre-PA (SRU), BS 2398 Business Undeclared, BSBA 6 12 Chemistry, BA 6112 Chemistry, BS 6113 Chemistry Environmental, BS 6114 Chemistry Biochemistry, BS 6116 Chemistry Forensic, BS 6112/6117 Chemistry, w/conc in Computational Chemistry, BS 6114/61P4 Chemistry Biochem / 3+3 Pre-Pharmacy (LECOM), BS 2108 Communication Digital Media Production, BS 2107 Communication-Integrated Marketing, BS 2112 Communication Journalism, BS 2113 Communication Public Relations, BS 6420/642C Computing, w/conc in Computer Science, BS 6420/643C Computing, w/conc in Information Technology, BS 6420/644C Computing, w/conc in Bioinformatics, BS 51CS Corporate Security Fraud, BS 510S Corporate Security Organizational Security, BS 5 70 Criminology & CJ, BA 5 70/507C Criminology & CJ, w/conc Comm Corrections, BA 6102 (Cytotechnology) Biology, BS 0021 * Dance, BA 5353 * Dance Performance, BFA 5454 * Dance Business Administration, BFA 2108 (Digital Media Production) Communication, BS 1100 Early Childhood Education (PreK-4), BSED 1185 Early Childhood Education (PreK-4), Special Ed (PreK-8) (dual certification), BSED 1189 Early Childhood Education (PreK-4), Special Ed (PreK-8) International, BSED 1102 Early Childhood Education-International (PreK-4), BSED 2316 Economics, BSBA 5 26 English Literature Language & Literature, BA 5 27 English Literature Literary, Film & Cultural Studies, BA 5122 English Writing Creative, BS 5121 English Writing Professional, BS 6 35 Environmental Geoscience, BA 6126 Env Geoscience Environmental Science, BS 6127 Environmental Geoscience Geology, BS 6149 Exercise Science, BS 6149/6PAE Exercise Science, w/conc Pre-Phys Asst (CHATHAM), BS 6149/6SPE Exercise Science / 3+2 Pre-PA (SRU), BS 6149/61P9 Exercise Science / 3+3 Pre-PT (SRU), BS 2342 Finance, BSBA 5 28 French, BA 5 31 French-Professional, BA 6140 Geography Applied Geographic Tech, BS 6141 Geography Environment & Society, BS 6125 Geography Environmental Studies & Sustainability, BS 2346 Health Care Administration and Management, BS MAJOR CODE # NAME OF MAJOR 6266 Health Science Public Health, BS 6266/6PAH Health Science Public Health, w/conc Pre-Phys Asst (CHATHAM), BS 6266/62P5 Health Science Public Health 3+3 Pre-PT (SRU), BS 5 44 History, BA 51HS Homeland Security, BS 6182 Industrial and Systems Engineering, BS 2240 Information Systems, BS 5198** Interdisciplinary Programs, BS 2112 (Journalism) Communication, BS 2345 Management, BSBA 2347*** Management Online, BSBA 2343 Marketing, BSBA 6162 Math Actuarial Science, BS 616F Math Bioinformatics, BS 6163 Math Biology, BS 6160 Math Business Administration, BS 6153 Math Chemistry, BS 6154 Math Computer Science, BS 6155 Math Economics, BS 616C Math Finance, BS 6156 Math Environmental Geoscience, BS 6165 Math Graduate (Prep for Grad Studies), BS 6157 Math Philosophy, BS 6158 Math Physics, BS 6159 Math Psychology, BS 616B Math Public Health, BS 616A Math Statistics, BS 6103 (Medical Technology) Biology, BS 553 * Music, BA 5233 * Music Education (K-12), BM 5253 * Music Performance, BM 5273 * Music Therapy, BM 6 58 **** Nursing, RN to BSN 6374 Park and Resource Management, BS 6180 Petroleum and Natural Gas Engineering, BS 5 64 Philosophy, BA 5 63 Philosophy Applied Philosophy, BA 5 60 Philosophy Career-related, BA 1155 Phys Education-Physical Activity & Fitness Mgmt, BSED 6 64 Physics, BA 6164 Physics, BS 6 64/6 63 Physics (WVU Dual Degree, 3+2 Pre-Engineering), BA 6 64/6 65 Physics (PSU Dual Degree, Pre-Engineering), BA 6 64/6 67 Physics (YSU 3+2 Pre-Engineering), BA 6 64/6 68 Physics (YSU 3+2 Pre-Engineering Tech), BA 6164/616D Physics Computational Physics, BS 6164/616E Physics w/conc in Computational Biophysics, BS 5 68 Political Science, BA 6101/6SPB Pre-PA 3+2 (SRU) / Biology, BS 6149/6SPE Pre-PA 3+2 (SRU) / Exercise Science, BS 6170/65PP Psychology/3+2 Pre-PA (SRU), BS 6266/6SPH Pre-PA 3+2 (SRU) / Public Health, BS 6101/61P8 Pre-PT 3+3 (SRU) / Biology, BS 6149/61P9 Pre-PT 3+3 (SRU) / Exercise Science, BS 2176/21P1 Pre-PT 3+3 (SRU) / Safety Mgt, BS 6266/62P5 Pre-PT 3+3 (SRU) / Health Science Public Health, BS 6393/63P2 Pre-PT 3+3 (SRU) / Recreational Therapy, BS 6101/61LC Pre-Chiropractic 3+3 (Logan) / Biology, BS 6101/61PC Pre-Chiropractic 3+3 (Palmer) / Biology, BS 6101/61LD Pre-Dental 4+4 (LECOM) / Biology, BS 6101/61WD Pre-Dental 4+4 (WVU) / Biology, BS 6101/61LE Pre-Osteopathic 3+4 (LECOM) / Biology, BS 6101/61LO Pre-Osteopathic 4+4 (LECOM) / Biology, BS 6101/61LP Pre-Pharmacy 2+3 (LECOM) / Biology, BS 6114/61P4 Pre-Pharmacy 3+3 (LECOM) / Chem-Biochem, BS 6 70 Psychology, BA 6170 Psychology, BS 6170/6SPP Psychology / 3+2 Pre-PA (SRU), BS 617S Psychology / 3+2 Pre-Student Affairs in Higher Education (SRU), BS 2 the graduate and/or doctorate levels. In addition to the Academic Major you select, you may also choose one of these tracks. Please indicate on page 4 of the application if you intend to pursue a pre-professional advising track. (Note: Transfer students may select pre-professional advising tracks but are not eligible for accelerated programs, i.e. Exercise Science/3+3 Pre-PT.) 2 MAJOR CODE # NAME OF MAJOR 617C Psychology / 3+3 Pre-Clinical Mental Health Counseling (SRU), BS 617C Psychology / 3+3 Pre-Student Affairs with College Counseling (SRU), BS 6171 Psychology-Developmental, BS 6172 Psychology-Neuroscience, BS 6266 (Health Science) Public Health, BS 6266/62P5 Public Health / 3+3 Pre-PT (SRU), BS 6266/6SPH Public Health / 3+2 Pre-PA (SRU), BS 6266/6PAH Public Health w/conc in Pre-Phys Asst. (CHATHAM), BS 2113 (Public Relations) Communication, BS 6393 Recreational Therapy, BS 6393/63P2 Recreational Therapy / 3+3 Pre-PT (SRU), BS 2373 Resort, Recreation & Hospitality Mgmt, BS 2176 Safety Mgmt, BS 2176/21P1 Safety Mgmt / 3+3 Pre-PT (SRU), BS 1149 School Wellness Education, BSED 6181 Social Work, BS 5 84 Spanish, BA 5 81 Spanish-Professional, BA 1189 Special Ed (PreK-8) Early Childhood Education (PreK-4), (dual certification), BSED 1793 Special Ed Transition Programming, BS 2150 Sport Management, BS 5 87 Theatre Acting, BA 5 91 Theatre Arts Administration, BA 5 88 Theatre Design & Technology, BA 0000 Undeclared (Exploratory) SECONDARY EDUCATION 6 10 # Biology (Pre-Master Ed) (7-12), BA 6110 # Biology Professional (Pre-Master Ed) (7-12), BS 6 11 # Chemistry (Pre-Master Ed) (7-12), BA 6111 # Chemistry (Pre-Master Ed) (7-12), BS 6 36 # Env Geoscience (Pre-Master Ed) (7-12), BA (Earth and Space Science Certification) 6 51 # Mathematics (Pre-Master Ed) (7-12), BA 6151 # Mathematics (Pre-Master Ed) (7-12), BS 6 69 # Physics (Pre-Master Ed) (7-12), BA 6169 # Physics (Pre-Master Ed) (7-12), BS 1224 Secondary Education English (7-12), BSED 1228 Secondary Education French (K-12), BSED 1277 Secondary Education SS History (7-12), BSED 1284 Secondary Education Spanish (K-12), BSED MIDDLE LEVEL EDUCATION 1231 English Language Arts (4-8), BSED 1233 Mathematics (4-8), BSED 1235 Science (4-8), BSED 1234 Social Studies (4-8), BSED PRE-PROFESSIONAL ADVISING AREAS Pre-Chiropractic Pre-Dentistry Pre-Law Pre-Medical Pre-Optometry Pre-Pharmacy Pre-Physical Therapy Pre-Physician Assistant Pre-Podiatry Pre-Veterinary TRANSFER STUDENTS MAY SELECT PRE-PROFESSIONAL ADVISING TRACKS, BUT ARE NOT ELIGIBLE FOR ACCELERATED PROGRAMS SUCH AS 3+3 PRE-PT. Questions regarding your choice of a BA vs. BS degree (i.e. BA Psychology vs. BS Psychology) should be directed to the appropriate Academic Department by phoning the University at SRU Physical Therapy at SRU is a Doctoral program. Questions regarding selection of an appropriate Pre-Physical Therapy Undergraduate Academic Major should be directed to the Office of Undergraduate Admissions at Transfer students are not eligible for this program. * Music and Dance programs require an audition. Students should contact the appropriate department at SRU.9111 to schedule an audition. ** Freshman students are not eligible for this program. Thirty credit hours of college credit are required for this major. *** Associate degree in business administration required. # To obtain secondary teaching certification in these majors, students are required to successfully complete a Masters of Education degree (M.Ed). Complete information on all secondary certification requirements is available through the Secondary Education/Foundations of Education Department at **** For eligible RNs PLEASE KEEP THIS PAGE FOR YOUR RECORDS

3 Undergraduate Degree-seeking Admissions Application * Indicates that this is required Please complete the entire application form by typing or printing in ink. A $30 non-refundable application fee is required, along with the appropriate official documentation. (See application instructions.) Readmission, International, Post-Baccalaureate, Graduate and Non-degree applicants should not use this form. SUFFIX LEGAL NAME: LAST NAME (JR., III, etc.) FIRST NAME M.I. PREVIOUS LAST NAME NAME (if applicable) SUFFIX (JR., III, etc.) FIRST NAME M.I. * Previously attended? Yes No * Previously applied? Yes No (If you previously attended SRU as a degree-seeking student, do not use this application.) ADDRESS and PHONE PERMANENT HOME ADDRESS and PHONE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY STATE or PROVINCE ZIP or POSTAL CODE PLEASE RETURN THIS PAGE TO SRU. PERSONAL and ADDRESS COUNTY: (Pennsylvania only) COUNTRY / NATION (Non-U.S. citizens only) PERMANENT / HOME PHONE CELL PHONE GENDER: Male Female BIRTH DATE: MONTH DAY YEAR SOCIAL SECURITY NUMBER: The Federal Privacy Act of 1974 requires that you be notified that disclosure of your Social Security number is voluntary and is not required to determine admission. Your Social Security number will be used to match your application with your SAT/ACT Test Scores and/or Financial Aid information so failure to provide it may affect your eligibility for financial aid and may delay your admission decision. Your Social Security number is also used to report your educational expenses to the Internal Revenue Service to verify any education-related deductions you may claim on your federal income taxes. CITIZENSHIP: U.S. Citizen Permanent resident of U.S. (Green Card) (Please submit a copy of your Permanent Resident Card) Are you a Pennsylvania resident: Yes No If yes, how long have you lived in Pennsylvania (number of years) PARENT EDUCATION : Please carefully review all of the following choices before selecting the one that best describes your parents educational background. This information is collected for data analysis only and has no bearing on your application for admission. Both Parents SRU Grads Mom SRU Grad / Dad other 4-Year Grad Dad other 4-Year Grad / Mom not 4-Year Grad Dad SRU Grad / Mom other 4-Year Grad Mom SRU Grad / Dad not 4-Year Grad Mom other 4-Year Grad / Dad not 4-Year Grad Dad SRU Grad / Mom not 4-Year Grad Both parents other 4-Year Grads Neither Parent is a 4-Year Grad Is either parent currently employed at Slippery Rock University? Yes No Are you planning on filing a FAFSA to be considered for federal and/or state financial aid? Yes No MILITARY-RELATED QUESTIONS, IF APPLICABLE: 1. Are you currently serving on active duty in the military? Yes No Select Yes if you are a person who is currently serving in the military full-time. This includes all branches of the U.S. Armed Forces (Army, Navy, Air Force, Marines, or Coast Guard). Select No if you are a person who is currently serving in the Reserve or National Guard. Persons in the Reserve or National Guard are not full-time active duty military personnel, although it is recognized that they can be deployed should the need arise. 2. Are you a veteran of the U.S. Armed Forces? Yes No Select Yes if you are veteran of the U.S. Armed Forces. Have engaged in active duty in the U.S. Armed Forces (Army, Navy, Air Force, Marines, or Coast Guard), or are a National Guard or Reserve enlistee who was called to active duty for other than state or training purposes, or were a cadet or midshipman at one of the service academies, and Were released under a condition other than dishonorable. Select No if you: Have never engaged in active duty in the U.S. Armed Forces, Are currently an ROTC student, a cadet or midshipman at a service academy, Are a National Guard or Reserves enlistee activated only for state or training purposes, or Were engaged in active duty in the U.S. Armed Forces but released under dishonorable conditions, or Never served in any capacity in the military 3

4 PERSONAL and ADDRESS MILITARY-RELATED QUESTIONS (continued) 3. Are you currently in the National Guard? Yes No 4. Are you the dependent of a military service person and eligible for GI benefits? Yes No 5. Are you the spouse of a service member currently serving on active duty? Yes No What is your ethnicity? What is your race? Mark one or more races to indicate what you consider yourself to be. Hispanic or Latino American Indian or Alaskan Native Native Hawaiian or other Pacific Islander Not Hispanic or Latino Asian White Black or African American PREFERRED APPLYING FOR: TERM: Fall, 20 (begins in August) Spring, 20 (begins in January) Summer, 20 (begins in May) APPLYING AS A: Freshman (Have not attended college or post-secondary school after the summer after high school graduation.) Transfer (Are currently attending/or have previously attended college after the summer after high school graduation.) Do you plan to commute or reside in University housing? Commute Reside in University housing PARENT / GUARDIAN / SPOUSE PARENT / GUARDIAN / SPOUSE: Please list one or more. Relationship to you: PREFIX (Mr., Mrs., Ms., Dr., etc) FIRST NAME MIDDLE NAME LAST NAME SUFFIX (Jr., III., etc) Living Deceased ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY STATE or PROVINCE ZIP or POSTAL CODE COUNTRY / NATION PHONE NUMBER INTERNATIONAL PHONE NUMBER (if applicable) ADDRESS PARENT/ GUARDIAN / SPOUSE Relationship to you: PREFIX (Mr., Mrs., Ms., Dr., etc) FIRST NAME MIDDLE NAME LAST NAME SUFFIX (Jr., III., etc) Living Deceased ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY STATE or PROVINCE ZIP or POSTAL CODE COUNTRY / NATION PHONE NUMBER INTERNATIONAL PHONE NUMBER (if applicable) ADDRESS ACADEMIC MAJOR / PLAN OF STUDY Do you plan to enroll: Full-time (12 credits or more) Part-time (less than 12 credits) ACADEMIC MAJOR: Choose your Academic Major/Program of Study from the list provided on page 2 of the instructions. Write in the major code and name of your academic major (page 2) / Code # Academic Major Name NOTE: Once attending SRU, additional majors and minors may be added. You may also select an optional Pre-Professional Advising Track if you are interested in a career in these areas. These are not Academic Majors or Minors, but areas that provide advising resources. (Transfer students may select a Pre-Professional Advising Track, but are not eligible for accelerated academic major options). See page 2 for options. Pre-Professional Advising Track 4

5 ACTIVITIES EDUCATIONAL SRU offers numerous extra-curricular activities to complement the academic experience. Please indicate those areas that you may be interested in participating. Academics Honors Army ROTC Athletics Intramural and Club Cheerleading Community Service Greek Organizations Leadership Multicultural Organizations HIGH SCHOOL RECORD: Music - Marching Band Music Other Religious Organizations Student Government Other Please respond to the following questions before entering your high school information: INTERCOLLEGIATE ATHLETICS Athletics Men s Baseball Athletics Men s Basketball Athletics Men s Cross Country Athletics Men s Football Athletics Men s Indoor Track Athletics Men s Outdoor Track Athletics Men s Soccer * Were you home schooled? Yes No * Did you earn a GED? Yes No (If you earned a GED Certificate, please see the application instructions for the supporting documentation that you must provide. GED certified admission applicants must also provide the high school information for the last high school attended.) Athletics Women s Basketball Athletics Women s Cross Country Athletics Women s Field Hockey Athletics Women s Indoor Track Athletics Women s Lacrosse Athletics Women s Outdoor Track Athletics Women s Soccer Athletics Women s Softball Athletics Women s Tennis Athletics Women s Volleyball HIGH SCHOOL NAME SCHOOL CODE NUMBER CITY STATE or PROVINCE ZIP or POSTAL CODE HS NATION / COUNTRY GRADUATION YEAR For currently enrolled high school students only; not for transfer applicants. List your senior year courses in-progress, indicating the courses that are considered Honors or Advanced Placement. Are you completing college-level courses prior to or during the summer after high school graduation? Yes No (If so, please complete the Post-Secondary and Military Education sections below.) Test scores Indicate the type of college entrance exam (SAT / ACT) you have taken or plan to take/retake and include the date(s). SAT Date: SAT Date: SAT Date: ACT Date: ACT Date: ACT Date: POST-SECONDARY and MILITARY EDUCATION: Please list all of the post-secondary institutions in chronological order, beginning with the most recent institution. When you record the most recent institution attended, be sure to list the last term you plan to take coursework, prior to enrolling at SRU. If you have been in the U.S. Military, please list this experience, so that we may consider awarding college credit for your education and/or experience. Please be sure to forward an official transcript from each institution. 5

6 EDUCATIONAL POST-SECONDARY and MILITARY EDUCATION: (continued) OFFENSES Have you ever been convicted of a felony offense? Yes No A conviction is an adjudication of guilt and includes pleas of nolo contendere (no contest). Please disregard minor traffic violations, misdemeanors, offenses committed before your 18th birthday which were adjudicated in juvenile court under a Youth Offender Law, and any charges which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition Program. A yes answer will be reported to the Pennsylvania Higher Education Assistance Agency (PHEAA) if the applicant receives PHEAA aid. A yes answer will not necessarily bar admission to the University, but it may limit the ability to enroll in or complete certain academic majors/programs and may affect approval to live in university-owned or university-affiliated housing. If YES, please state the felony offense, the date of conviction and provide relevant information concerning the felony conviction on a separate sheet of paper. CERTIFICATION I certify that the information given on this application is complete and correct and that I have attended no institution(s) other than those listed. I understand that I am responsible for arranging for the forwarding of official transcripts from all schools I have attended, official ACT/SAT test scores, and that all application materials become the property of Slippery Rock University and will not be returned. I understand that any falsifications or omissions may result in my denial of admission or dismissal if I am enrolled. APPLICANT S SIGNATURE DATE Application cannot be processed without a signature and date For more information call Please return completed application, official academic transcript(s), and $30 non-refundable application fee (payable online at or check or money order) to: Slippery Rock University Office of Undergraduate Admissions 201 Campus Drive Slippery Rock, PA Slippery Rock University is committed to a policy of affirmative action. Slippery Rock University assures an equal opportunity to all persons without regard to race, color, religion, creed, disability, ancestry, national origin, age, gender or veteran s status in accordance with the state and federal laws, including Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of # Slippery Rock University is a member of Pennsylvania s State System of Higher Education. 6