Fillable Haskell Indian Nations University Admission Application

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Haskell Indian Nations University Admission Application

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File type: PDF

U.S.A. forms for Haskell Indian Nations University

BROWSE HASKELL INDIAN NATIONS UNIVERSITY FORMS

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 
Emergency Contact

Parent Spouse Other:

   
 
Permanent Mailing Address
   
 
Please select your enrollment status:
Full-Time Student (enrolled in 12 or more credits)
Part-Time Student (enrolled in less than 12 credits)
Please select your housing status:
On-campus (must be enrolled in 12 credits)
Off-campus (please list local address below)
   
Legal Name 
  
 
Please select which degree you are pursuing:
Associate of Arts (A.A.) Degree Associate of Science (A.S.) Degree
Bachelor of Arts (B.A.) Degree Bachelor of Science (B.S.) Degree
Please write your desired major on the line:
DEADLINES for Application: Fall: June 1
st
| Spring: November 15
th
| Summer: April 15
th
What semester are you planning to attend Haskell? Fall 20 Spring 20 Summer 20
Admission Application
Haskell Indian Nations University
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 
College or University Information
Have you ever attended a class at another college or university?
No
Yes
Have you been awarded an Associates Degree or will be completing a degree?
No
Yes
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
 
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
 
If more room is needed, please use separate sheet of paper
High School Information
 
 

Have you graduated from high school?
Yes:
No:
 
Have you taken the GED?
No
Yes
NA

If you have taken the GED please
submit a copy of your scores
Have you taken the ACT/SAT?
No
Yes

If you have taken the ACT/SAT, please have

School Code - 010438 Haskell ACT Code - 1415 Haskell SAT Code - 0919
Tribal Information
 

Student Demographic Information
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Date of Birth:

Place of Birth:

Gender:
Male
Female
Marital Status:
Single
Married
Separated
Divorced
Are you currently on or pending criminal probation or parole?
No
Yes
If yes, please explain:
If more room is needed, please use separate sheet of paper

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 
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 

Mailing Address:

155 Indian Ave, Box 5031 - Lawrence KS 66046-4800
Completed Application
$10 Money Order


Copy of GED Scores (if applicable)

Immunization Records Showing
Measles, Mumps, and Rubella
(MMR I and MMR II)
Copy of Tribal Enrollment
Documentation
Admissions Entrance Essay

I certify that the information given on this application is correct and complete and all prior academic
work is accounted for on this application (Incomplete applications will not be considered).
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

Miscellaneous Information
Please list any activities in which you would like to participate in at Haskell (i.e. Haskell Band, Basketball,
High powered Rocketry Club, Student Senate, etc.):

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Haskell Indian Nations University Admission Application

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Completed 14 April 2020

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