LEGAL NAME AND CONTACT INFORMATION LAST NAME FIRST NAME MIDDLE NAME FORMER (OR MAIDEN) NAME PERMANENT HOME ADDRESS (NUMBER, STREET, ARPTMENT/UNIT NUMBER) CITY STATE ZIP CODE COUNTRY PHONE NUMBER EMAIL ADDRESS PERSONAL INFORMATION GENDER (SELECT ONE) MALE / FEMALE MARITAL STATUS (SELECT ONE) SINGLE / MARRIED / DIVORCED BIRTHDATE (MM/DD/YYYY) / / ARE YOU A U.S. CITIZEN? YES / NO IS ENGLISH YOUR PRIMARY LANGUAGE? YES / NO IN NOT A U.S. CITIZEN, ARE YOU A PERMANENT RESIDENT OF THE U.S.? YES / NO HAVE YOU TAKEN AN ENGLISH LANGUAGE PROFICIENCY TEST? YES / NO IF NOT A U.S. CITIZEN, WHICH COUNTRY DO YOU HOLD CITIZENSHIP? IF DUAL, INCLUDE BOTH) IF YOU HOLD A VISA, WHAT TYPE OF VISA SO YOU HOLD? F-1 J-1 OTHER (PLEASE SPECIFY) :
OPTIONAL DEMOGRAPHIC INFORMATION This optional information is requested to meet federal and state reporting requirements and to help the college understand and serve its constituents. It will not be used as a basis for admissions or in a discriminatory manner. you will not be subject to adverse treatment if you do not provide this information. ETHNICITY (CHOOSE ONE) HISPANIC OR LATIN NOT HISPANIC OR LATIN RACES (CHECK ALL THAT APPLY) AMERICAN INDIAN OR ALASKA NATIVE ASIAN BLACK OR AFRICAN-AMERICAN NATIVE HAWAIIAN OR PACIFIC ISLANDER WHITE EDUCATION HAVE YOU PREVIOUSLY ATTEDED NSAD? YES / NO IF YES, WHEN? HIGH SCHOOL/SECONDARY NAME GRADUATION DATE/ANTICIPATED GRADUATION DATE (MM/YYYY) GRADE POINT AVERAGE BASED ON A SCALE LIST ALL COLLEGES AND/OR UNIVERSITIES AT WHICH YOU HAVE TAKEN COURSES FOR CREDIT. PLEASE HAVE OFFICIAL TRANSCRIPTS SENT EACH INSTITUTION. INSTITUTION NAME DEGREE EARNED DATED ATTENDED (MM/YYYY) INSTITUTION NAME DEGREE EARNED DATED ATTENDED (MM/YYYY) INSTITUTION NAME DEGREE EARNED DATED ATTENDED (MM/YYYY)
WORK EXPERIENCE (BEGINNING WITH THE MOST RESENT) MOST RESENT EMPLOYER POSITION BRIEF DESCRIPTION OF DUTIES DATED EMPLOYED SECOND RESENT EMPLOYER POSITION BRIEF DESCRIPTION OF DUTIES DATED EMPLOYED THIRD RESENT EMPLOYER POSITION BRIEF DESCRIPTION OF DUTIES DATED EMPLOYED
PROGRAM OF STUDY WHAT TERM DO YOU WISH BEGIN CLASSES? FALL (OCBER) / WINTER (JANUARY) / SUMMER (JULY) YEAR? WHAT DEGREE PROGRAM ARE YOU APPLYING FOR? (CHECK ONE) UNDERGRADUATE PROGRAMS Bachelors of Arts in Strategic Design & Management Bachelors of arts in Product Design Bachelor of Interior Architecture & Design Bachelor of Architecture Bachelor of Arts in Game Art Bachelor of Interior Arch & Design Global Design Degress Bachelors of Arts in Architecture Bachelors of Science in Construction Management Bachelor of Science in Media Design Bachelor of Arts in Animation Bachelor of Science in Game Programming Bachelor of Product Design Global Design Degree GRADUATE PROGRAMS Master of Architecture (4 +3) Master of Architecture (4 +2) Master of Architecture (5 +1) Master of Science in Architecture Master if Construction Management APPLICATION FEE (CHECK ONE) CHECK/MONEY ORDER UNPAID (PLEASE NOTE: APPLICATION CANNOT BE PROCESSED UNITL PAYMENT IS RECEIVED) NAME ON CARD SIGNATURE CREDIT CARD NUMBER EXPIRATION DATE CVV CODE BILLING ADDRESS CITY STATE ZIP
CREDIT CARD AUTHORIZATION FORM $75 APPLICATION FEE OTHER: Card Type: Visa Mastercard Discover American Cardholder Name: Student Name: Billing Address: City: State: Zip: Country: Card Number: Expiration Date: CVV: Cardholder Signature: FOR NSAD ONLY AMOUNT CHARGE: BANNER ID ONYX D ES NAME: Stefania Costa PROGRAM TERM