INTERNATIONAL UNDERGRADUATE APPLICATION FOR ADMISSION

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INTERNATIONAL UNDERGRADUATE APPLICATION FOR ADMISSION International applicants who are neither United States citizens nor permanent residents must submit this form in order to apply for study at The University of Tulsa. All information except the signature should be typed or printed plainly. Return to: The University of Tulsa Office of International Student Services 800 South Tucker Drive Tulsa, Oklahoma 74104-3189 Application Fee: Submit a non-refundable cashier s check, international money order, or certified check for $50 U.S. dollars payable to The University of Tulsa OR use a credit card to pay online. Online payment link: https://utulsa.edu/international-students/requirements-and-deadlines/ PART I PERSONAL INFORMATION - Print neatly or type 1) Name (exactly as it appears on passport) Last (family or surname) First (given name) Middle 2) Date of Birth: Month Day Year Male Female 3) Place of Birth: City Province/Region Country 4) Country of Citizenship: 5) Permanent International Family Address Address Line 1 Address Line 2 City Province/Region/Territory Postal Code Country 6) Current Mailing Address (if different from above), valid until Date Address Line 1 Address Line 2 City Province/Region/Territory Postal Code Country 7) Send all correspondence to my permanent family address current mailing address 8) International Telephone (+ ) Current Telephone (+ ) 9) E-Mail Address 10) What country issued the passport that you will use to obtain a visa to enter the U.S.? Passport number (if you already have a passport) 11) If you are already in the USA: What institution issued your I-20 or DS-2019 for your current visa? Type of visa?

PART II - FAMILY INFORMATION 12) Father s name Last (family name or surname) First (given name) Middle name 13) Mother s name Last (family name or surname) First (given name) Middle name 14) Parent International Telephone (+ ) 15) Parent email 16) Parent Mailing Address Line 1 Line 2 City Province/Region Postal Code Country 17) Do you have a parent, grandparent, or sibling who has attended The University of Tulsa? No Yes If yes, name: Relationship to you 18) Will any dependents (spouse or child) accompany you to the U.S.? No Yes If yes, list below (in order that we may include family members on your immigration documents, you need to show additional financial support in the amount of $3,000/year for spouse and $1,500/year for each child). Name Date of Birth Country of Birth Relationship (husband/wife/son/daughter) 19) Religious preference (optional) PART III EDUCATIONAL PLAN 20) When do you plan to enter the university? Fall (August) Spring (January) Summer (May) Year 21) Select the college in which you plan to enroll: Arts & Sciences Business Engineering & Natural Sciences Health Sciences 22) Major field of study 23) Have you taken the TOEFL, IELTS, or other test of English? Score 24) Do you plan to attend the Intensive English Program? No Yes 25) Are you interested in the Pathway to Academics bridge program? No Yes 26) Have you previously applied for admission to The University of Tulsa? For what semester? 27) Have you ever attended The University of Tulsa? Last semester of attendance If yes, what was your previous major? 28) How did you become interested in The University of Tulsa?

PART IV EDUCATIONAL BACKGROUND (do not leave blank) List below in chronological order all schools you have attended including secondary, college, university, technical training, or intensive English, both outside the U.S. and within the U.S. Include current school (attach separate paper if necessary). Name of School City, Country Dates of Attendance Name of Diploma or Degree mo. / yr. to mo. / yr. (in Native Language) Date Received or Expected mo. / yr. to mo. / yr. mo. / yr. to mo. / yr. 29) Have you ever been dismissed, suspended, placed on academic probation or denied readmission to any university (including universities in your country)? No Yes If yes, please give the name of the school and the dates of attendance, and explain the reason (attach separate paper if needed) 30) List below all courses in which you are currently enrolled. If you want post-secondary work to be considered for transfer credit, you must submit a syllabus of each course. Course Title (Include course number for post-secondary) Credits/Units Course Title (Include course number for post-secondary) Credits/Units PART V FINANCIAL INFORMATION FOR STUDENTS, SPOUSES AND DEPENDENTS The U.S. Department of Homeland Security requires that you file a statement with the university that shows adequate financial support for your education. You must submit the Confirmation of Financial Resources (CFR) form to the TU Office of International Student Services. This form must be signed by you and your sponsor (in most cases your sponsor is a parent or family member). The form must be countersigned and sealed by the sponsor s bank OR you may submit additional bank documentation such as a copy of your sponsor s current account balance statement issued by the bank or a letter signed by a bank official. There is one exception to the use of the CFR form. If you are sponsored by a government, company, or agency, such sponsors must provide an official letter with an original signature indicating financial support for university costs and personal living expenses. This letter should be submitted in place of the CFR form. If sponsorship does not cover all costs, additional evidence of personal funding for remaining expenses is required as indicated above. Documented evidence of financial support must bear a date not older than one year prior to the desired dates of attendance. Such documentation must be received before your final admission status is determined. After you are admitted, an I-20 will be issued by the International Student Services Office so that you may apply for a study visa. Be certain to check the estimated annual expenses on the TU website. These figures are subject to change.

PART VI ADMISSION APPLICATION CHECKLIST Application form completed and signed Application fee of $50.00 Proof of completion of a secondary program Official records of all academic work beginning with secondary education must be sent directly to The University of Tulsa International Student Services Office from the issuing institution or agency. You must submit an original document or official copy of secondary transcripts as well as any post-secondary transcripts. If transcripts are not issued in English, submit a certified English translation. If you have completed post-secondary work, submit a syllabus or course description for courses to be considered for transfer credit. If you have completed sixty (60) hours at a U.S. college or university at the time of application, secondary transcripts need not be submitted. Evidence of English proficiency complete details of accepted evidence of English proficiency is available at https://utulsa.edu/international-students/requirements-and-deadlines/. When submitting test scores, official results must be sent directly from the testing organization to the TU International Student Services Office. To send TOEFL scores from ETS the TU institutional code is 6883. Students who do not meet the English proficiency requirement will be offered conditional university admission and the opportunity to attend our English Institute for International Students. A photocopy of personal data page of passport. We encourage students to provide a student essay (common application essay or topic of your choice), counselor or teacher recommendation letters, and SAT/ACT test scores where applicable. Completed and signed official Confirmation of Financial Resources statement (to include all dependents, if applicable). All materials submitted with the application become property of The University of Tulsa and cannot be returned. PART VII VERIFICATION SIGNATURE/REQUIRED DISCLOSURE (must be completed) The following information must be supplied by all applicants to The University of Tulsa. If you answer yes to any of the questions below, please use a separate sheet to explain the circumstances and outcome, including date(s) and location (school/city/state). 1. Have you ever been suspended or dismissed from high school? Yes No 2. Have you ever been suspended or dismissed from a college or university for academic reasons? Yes No 3. Have you ever been suspended or dismissed from a college or university for disciplinary reasons? Yes No 4. Have you ever been arrested for, charged with or convicted of a felony? Yes No 5. Federal Legislation stipulates that anyone who is required to register as a sex offender in any state or jurisdiction must notify the college he or she attends. In compliance with this legislation, are you required to register in any state as a sex offender? Yes No An affirmative answer to any of these questions will not necessarily result in rejection of an applicant for admission. However, failure to answer any of the questions truthfully or failure to disclose information honestly if you responded affirmatively to any question will subject an accepted applicant to having the offer of admission rescinded or will subject an enrolled student to the University s student judicial process and may result in dismissal from the University. I certify that to the best of my knowledge that all statements submitted by me on my admission application and on this form are correct, complete, and my own. I am aware that, if I enroll at The University of Tulsa, all portions of my application (excluding the secondary school counselor evaluation) will become part of my permanent record. I understand that failure to provide accurate and complete information can result in cancellation of the application and/or revocation of admission and/or enrollment. I also understand my obligation to inform the University if information or circumstances indicated on my admission application or this form should change. I further understand and agree that the university cannot and will not be responsible for unforeseen personal difficulties that may arise, political changes in my home country, or changes in currency valuation that may alter and affect my ability to continue as a student at the university. Your full name (please print) Signature Date (mm/dd/yyyy)

Office of International Student Services Phone: +1 (918) 631-2329 Toll Free within the U.S. +1 (800) 331-3050 Fax: +1 (918) 631-3322 Email: inst@utulsa.edu www.utulsa.edu The University of Tulsa is an equal opportunity/affirmative action institution. For EEO/AA information, contact the Office of Human Resources, 918-631-2616. For disability accommodations, contact Dr. Tawny Taylor at 918-631-2315. TU#14535

The University of Tulsa 800 South Tucker Drive Tulsa, Oklahoma 74104-3189 CONFIRMATION OF FINANCIAL RESOURCES Total estimated expenses for 2017-18 Academic Year: $58,672 Subject to change The University of Tulsa requires confirmation of financial resources from all applicants who are not United States citizens or who are not holding permanent resident (immigrant) visas at the time they apply for admission. These statements must be on file at The University of Tulsa before final admission is granted. The applicant is advised that the tuition, fees, and other charges for the semester or session are due at the beginning of each term. The international student must be prepared to meet these obligations. PLEASE NOTE: You will not be issued form I-20 or Form DS-2019 until this form has been completed, signed, and submitted to The University of Tulsa. STATEMENT OF APPLICATION AND SPONSOR I certify that I have been informed of the costs of attending The University of Tulsa, and that I am prepared to provide all the anticipated yearly expenses for my entire length of stay at The University of Tulsa. Funds will be provided (check the appropriate box): From my own savings From my family and/or guarantor From sponsoring agency If you checked From Sponsoring agency, please enclose a sponsorship letter bearing an original signature. If you checked From my own savings or From my family and/or guarantor, you must have the STATEMENT FROM A BANK OR FINANCIAL ESTABLISHMENT section below completed by a bank official, or submit additional bank documentation. I also certify that I have adequate funds for my travel to and from the United States. Yes No I further certify that I can make the necessary arrangements to have these funds transferred to the United States. Yes No Student s Name (Family, First, Middle) Signature of Applicant Date Sponsor s Name Address of Sponsor Signature of Sponsor Date Relationship of Sponsor (father, brother, etc.) STATEMENT FROM A BANK OR FINANCIAL ESTABLISHMENT This is to certify that, whose signature appears above, has ample funds at this time to meet the yearly expenses of the student named. This certificate does not constitute a statement of liability on my part or that of the firm or bank I represent. Bank Official s Signature Date BANK SEAL Title or Organization Address