Application for Admission

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OFFICE OF INTERNATIONAL PROGRAMS CHECKLIST -- Application Fee: $30.00 U.S Dollar (required, check payable to Montana State University ) -- Completed application form -- Request academic records -- Request English test score report -- Completed financial statement -- Bank statement Submit all required documents to: International Admissions Montana State University Office of International Programs 400 Culbertson Hall P.O.Box 172260 Bozeman, MT 59717 USA Phone: +1-406-994-4031 Fax: +1-406-994-1619 For assistance or further information: E-mail: globalstudy@montana.edu www.montana.edu/international INTERNATIONAL UNDERGRADUATE Application for Admission GENERAL INSTRUCTIONS Please refer to pages 2 5 in the application booklet for detailed application instructions or see www.montana.edu/international/admissions/appinstructions.htm. Print clearly or type. Be sure to complete all questions and note that several statements in the application require signatures. A non-refundable application fee of US$30 is required before the application can be processed. This fee cannot be waived or deferred. It is acceptable to return the completed application form, the financial statement and supporting financial documents via email to globalstudy@montana.edu. However, academic documents and exam scores must be official and original, and therefore must be sent by mail. All required educational documents (transcripts, mark sheets, exam results, certificates diplomas, etc.) must be original or certified true copies. They must be stamped and signed by a school official and sent to MSU directly by the issuing school or sealed closed in a school envelope to be mailed by the applicant. Photocopies are acceptable for admission purposes only. Originals must be provided at enrollment. An exact English translation must be provided for any academic document that is not written in English. Exam scores (such as TOEFL or SAT) must be sent to MSU directly from the testing agency. Student copies cannot be accepted. A bank statement or other form of documentation of financial support must be provided to assure that funds are available for the first of study. If you are applying as a transfer student, MSU International Admissions will notify you if we require further information to evaluate your academic credentials. SCHOLARSHIPS See www.montana.edu/international/admissions/scholarships.htm and www.montana.edu/wwwfa/scholarships.html for details. All international undergraduate applications are automatically reviewed for Office of International Programs scholarships. SAT score-based scholarships are automatically awarded to many freshmen entering MSU. Superior students who will be first (freshmen) at MSU may apply for the Presidential Scholarship. This is an extremely competitive scholarship; applications are due in November for the next Fall semester. See www.montana.edu/honors for information and required forms. WHEN TO APPLY Applications can be started up to one in advance of the beginning of the desired term of entry (for example in September 2016 for entrance in September 2017). Applying at least six s early is strongly encouraged to allow sufficient time for processing the application and the exchange of documents, obtaining a student visa and arranging travel. Applications that are submitted without sufficient time for processing will be considered for the next term. Scholarship applicants should apply early. On-campus housing is guaranteed for all undergraduate students, but early applicants are most likely to be assigned to their preferred residence hall. 02/17

PAGE 2 GENERAL AND PERSONAL INFORMATION Semester applicant expects to enter: Fall 20 Spring 20 Summer 20 A REQUIRED $30 U.S. NON- REFUNDABLE APPLICATION FEE MUST ACCOMPANY THIS APPLICATION. Proposed field of study/major: Proposed Academic Status: Degree-seeking n-degree seeking (1 ) Second bachelor s degree Complete legal name: (as it appears on passport) surname/family first/given middle/maiden U.S. Social Security Number: (if applicable) Birth date: / / Birth place: city/country Citizenship: country Are you a Permanent Resident of the United States? Yes If you are currently in the U.S., what is your immigration status? Permanent Address: (F-1, F-2, J- 1, J-2, ETC.) street/number city or town country and postal code Phone: ( )( ) Fax: ( )( ) E-mail address: Please provide additional contact information, if your current mailing address is different from your permanent address. street/number city or town country and postal code Phone: ( )( ) Fax: ( )( )

PAGE 3 EDUCATIONAL INFORMATION Date you took or will take the TOEFL: / TOEFL score: Native/first language is English: BE SURE TO REQUEST THAT OFFICIAL TOEFL SCORES BE SENT TO MSU. MSU Institutional code is 4488 OPTIONAL: SAT I: V M Date Taken / ACT: Date Taken / eng math read sci comp Please list all secondary and post-secondary schools or universitites attended. Attach additional page if needed. Column 1 List school name and location. Column 2 Write the calendar (s) you attended each school. Column 3 List your age(s) while attending each school. Column 4 Write the name of any examination passed, or of certificates, diplomas, or degrees earned, such as Certificate of Education (ordinary or advanced), Bachillerato, Abitur, Maturita, Baccalaureate, Studentereksamen, STPM, etc., using the terminology of the educational system you attended. Secondary (High) School 1 Name of School, City/Country 2 Year(s) Attended 3 Age 4 Certificates, Diplomas, Graduations, Standardized Examinations Post-secondary School or University 1 Name of School, City/Country 2 Year(s) Attended 3 Age 4 Certificates, Diplomas, Graduations, Standardized Examinations List any academic honors you have received - prizes, scholarships, awards, etc. (Attach relevant documents.) Please list any extracurricular interests/activities. EDUCATIONAL OBJECTIVE/ESSAY On a separate sheet of paper, briefly state your educational objectives including your reasons for wishing to enroll at Montana State University or attach a more detailed one-page essay. (An essay is recommended for those who wish to be considered for scholarships.)

PAGE 4 REQUIRED SAFETY AND SECURITY INFORMATION Have you been convicted of a felony (serious crime)? Yes Have you been institutionalized for threatening or causing physical or emotional injury to persons or property? Yes Have you been dismissed and/or suspended from a college for disciplinary (non-academic) reasons? Yes Have you ever been required to register as a sexual or violent offender? Yes An affirmative response to any of these questions will not automatically prevent admission, but you will be required to provide additional information. We are committed to campus safety. I hereby certify that to the best of my knowledge the foregoing information is true and complete without evasion or misrepresentation. I understand that if it is later found otherwise, it is sufficient cause for rejection or dismissal. If my application is approved, I agree to abide by the rules and regulations, both academic and non-academic, of Montana State University, its colleges, schools, departments and institutes, including but not limited to those rules and regulations stated in both the undergraduate and graduate catalogs. I further acknowledge that, if admitted to Montana State University, I may be dropped therefrom if I fail to abide by these rules and regulations and that my registration at Montana State University may be subject to cancellation. Date of Application / / Applicant s Signature sign complete legal name Montana State University does not discriminate on the basis of race, color, national origin, sex, sexual preference, marital status, age, religion, creed or political belief, mental or physical handicap or disability, or status as Vietnam era or disabled veteran in admission, access to, or conduct of its educational programs and activities nor in its employment policies and practices. Evidence of practice not consistent with these policies should be reported to the Office of Human Resources/Affirmative Action, Montana Hall, MSU, Bozeman, MT 59717-2430, USA. Phone: +1-406-994-2042. INTERNATIONAL STUDENT FINANCIAL CERTIFICATE Financial documents is not required for admission purpose. Bank statements or other form of documentation of financial support must be provided for issuing I2-0. Fees are determined by the Montana Board of Regents annually and are subject to change. Keep a copy of these documents for your records. It may be necessary to show verification of financial status at the U.S. port of entry. I-20 Financial Requirement: US$32,090 Sponsor s Statement I,, do hereby guarantee that name of sponsor will have a minimum of $32,090 (thirty-two thousand and Ninety U.S. dollars), in addition to travel expenses for the round trip from the student s home to Montana State University for each academic that this person is a student at Montana State University. Date / / Signed sponsor name of student applicant relationship to student applicant Applicant s Statement I certify that all statements on this form are true and accurate, and that funds will be provided as specified above. I will notify Montana State University of any changes in my financial circumstances or in that of my sponsor. I understand that, should I be admitted and register, failure on my part or on that of my sponsor to provide the needed funds will result in cancellation of my registration and my termination from the undergraduate program at Montana State University. I authorize MSU to send bills to and communicate with my sponsor as necessary to assure payment of outstanding charges to Montana State University. Date / / Applicant s Signature sign complete legal name

PAGE 5 VOLUNTARY STATISTICAL INFORMATION Gender: Male Female Have either of your parents (or guardian(s)) with whom you reside completed a bachelor s degree? Yes Unsure If so, is this a degree from Montana State University in Bozeman? Yes Please indicate if you are: Hispanic or Latino (specify country of origin) t Hispanic or Latino Please indicate all races that apply among the following: Black or African American American Indian or Alaska Native (specify primary tribal affiliation and reservation) Asian (specify country of origin) Native Hawaiian or other Pacific Islander (please specify) White Race/Ethnicity unknown Other (please specify) If you have a disability for which accommodations may be necessary, please submit a confidential written request for disability accommodations to the Montana State Disability Services Office, SUB 180, Montana State University, Bozeman, MT 59717-3960, fax# (406) 994-3943. Written documentation of disability is usually required. A brochure detailing documentation requirements may be obtained from the Office of Disability, Re-entry and Veteran Services. No qualified student with a disability shall, on the basis of disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination under any MSU program or activity. What do you consider to be the most significant factor in your decision to apply to MSU? SIGNATURE I hereby certify that to the best of my knowledge the foregoing information is true and complete without evasion or misrepresentation. I understand that if found otherwise, it is sufficient cause for rejection or dismissal. If my application for admission is approved, I agree to abide by the present and future rules and regulations, both academic and nonacademic, and the scholastic standards of Montana State University, its colleges, schools, departments and institutes including but not limited to those rules, regulations and standards stated in the undergraduate/graduate catalog. I further acknowledge that if I fail to adhere to these regulations or meet these requirements, my registration may be canceled. If I enroll at Montana State University, I agree to pay all tuition, fees, fines, and debts to the university that may be incurred by me. I understand that MSU will take action against me to collect any unpaid debts, including withholding of registration, transcripts and assignment of the debt for collection and I will be responsible to pay any costs incurred to collect the debt. If I fail to pay any tuition or fees when due, I understand the university will treat any unpaid amount as an educational loan extended to finance my education. Applicant s complete legal signature: Name Date