Fillable International App (Wilkes University)

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International App (Wilkes University)

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The International App (Wilkes University) form is 2 pages long and contains:

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  • 106 check-boxes
  • 105 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Wilkes University

BROWSE WILKES UNIVERSITY FORMS

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GENERAL INFORMATION
Name:
_______________________________________________________________________________________________________________________________________
(Last Family, First (given), Middle Initial) (As spelled in passport)
Gender (check one) O Male OFemale U.S. Social Security # if available: ____________________________________________________
Date of Birth (Month/Day/Year): ___________ /____________ /____________
Permanent address in your home country
_______________________________________________________________________________________________________________________________________
(House Number, Street, City, State/Region, ZIP Code, Country)
Home telephone no. (country code + phone number): __________________________________________________________________________________
E-mail address: ___________________________________________________ Cell phone no.: ___________________________________________________
Father’s name: ___________________________________________________ Father’s occupation: ______________________________________________
Employer: ___________________________________________________ E-mail address: ________________________________________________________
Address (if different from your own): __________________________________________________________________________________________________
Mother’s name: ________________________________________________ Mother’s occupation: ________________________________________________
Employer: ___________________________________________________ E-mail address: ________________________________________________________
Address (if different from your own): __________________________________________________________________________________________________
Do you live with (check one): O Mother O Father O Both O Neither–I live with _____________________________________________
Have any of your relatives graduated from or are currently enrolled at Wilkes University? If so, what is their relationship to you?
_______________________________________________________________________________________________________________________________________
ACADEMIC INFORMATION
I plan to attend Wilkes University beginning (check one):
O Fall (August) O Spring (January) O Summer (May – Intensive English Only) YEAR: _______________
I will be a (check one): O Freshman O Transfer Student
if you have taken any classes after secondary school,
you MUST apply as a transfer student
I plan to (check one): O live in a residence hall on campus O find my own apartment off campus
Have you previously applied to/attended Wilkes University? (check one) O Yes O No
If yes, please list term, year and decision: _____________________________________________________________________________________________
REPRESENTATIVE
If you are submitting this application through a representative, please complete the information below:
Representative (i.e., embassy or agent): ________________________________________________________________________________________
Contact person: _______________________________________________________________________________________________________________
Best way to contact: __________________________________________________________________________________________________________
Do you agree that we contact your representative instead of you for communications during the application process? O Yes O No
ADDITIONAL INFORMATION
How did you learn about Wilkes University? (Check as many as apply)
O Mail O Radio O Newspaper O Secondary school visit O College fair O Guidance counselor O Other
Who encouraged your interest in Wilkes University? Is this person a:
O Friend O Relative O Wilkes alumnus O Guidance counselor O Current Wilkes student
O Wilkes faculty or employee O Wilkes admissions counselor O Wilkes coach
O Other (Name): ____________________________________________________________________________________________
What are the primary factors you are considering in selecting a college/university?
________________________________________________________________________________________________________________________________________
Have you ever been convicted of a misdemeanor, felony, or other crime? O Yes O No
If so, please explain in an attached document.
What is your ethnicity? O Hispanic or Latino O Not Hispanic or Latino
Select one or more races to indicate what you consider yourself to be
O American Indian or Alaskan Native O Asian American O African American
O Native Hawaiian or other Pacific Islander O Caucasian
Do you intend to apply for financial assistance? O Yes O No
SIGNATURE
_____________________________________________________________________________________________ ______________________________________
Signature Date
O Transcripts from your secondary school
O A copy or scan of your passport
O If you are already in the U.S., a copy
or scan of your visa and I-20 (or other
immigration document for
non-F-1 students)
O Certified translations of all documents
into English, if applicable
REQUIRED DOCUMENTS CHECKLIST
O If you have attended any institution
of higher learning before, WES
evaluations of your transcripts from
that institution (more information at
www.wes.org)
O Evidence of financial support (bank
statements, salary certificates, etc.)
and a completed sponsorship
affidavit if you have a sponsor or
financial guarantee is you are
sponsored by your government
O Evidence of English proficiency (if you are
not planning to study in our Intensive
English Program first
a. Usually this is a TOEFL iBT score of at
least 60 or an IELTS score of at least 5.5
b. If English is the language of instruction
in your home country, please provide
evidence
INTERNATIONAL STUDENT APPLICATION
click to sign
signature
click to edit
O Intensive English Program only
O Intensive English Program first
UNDERGRADUATE MAJORS
O Accounting
O Biochemistry
O Biology
O Business Administration
O Chemistry
O Clinical Lab Sciences
(Medical Technology)
O Communication Studies
O Computer Information Systems
O Computer Science
O Earth & Environmental Sciences
O Education
O Engineering, Applied
O Engineering, Computer
O Engineering, Electrical
O Engineering, Environmental
O Engineering Management
O Engineering, Mechanical
O English
O Entrepreneurship
O History
O Individualized Studies
Please check your anticipated major(s). If you are interested in pre-professional programs (for example,
Pre-medical), please indicate and choose a major. If you are undecided, please indicate that as well.
O Integrative Media
O International Studies
O Mathematics
O Musical Theatre
O Nursing
O Pharmacy (Guaranteed Seat)
O Philosophy
O Political Science
O Psychology
O Sociology
O Spanish
O Theatre Arts
O Undeclared
UNDERGRADUATE MINORS
O Accounting
O Air & Space Studies (Air Force ROTC)
O Art
O Biology
O Business Administration
O Chemistry
O Communication Studies
O Computer Information Systems
O Computer Science
O Criminology
O Dance
O Earth & Environmental
Sciences
O Economics
O Education
O English
O Entrepreneurship
O Geology
O History
O Integrative Media
O Mathematics
O Music
O Neuroscience
O Philosophy
O Physics
O Policy Studies
O Psychology
O Sociology
O Statistics
O Theatre Arts
O Women’s and Gender Studies
PRE-PROFESSIONAL
PROGRAMS
O Pre-dentistry
O Pre-law
O Pre-medical (allopathic &
osteopathic)
O Pre-occupational therapy
O Pre-optometry
O Pre-physical therapy
O Pre-physician assistant
O Pre-podiatry
O Pre-veterinary
O ROTC (Army/Air Force)
GRADUATE
O Creative Writing - MA, MFA
O Doctor of Education - EdD
O Doctor of Nursing Practice - DNP
O Doctor of Pharmacy - PharmD
O Education, Graduate - MS
O Education, Secondary - MS
O Electrical Engineering - MS
O Engineering Management - MS
O Mathematics - MS
O Master of Business
Administration - MBA
O Mechanical Engineering - MS
Will you have a bachelor’s degree before beginning your studies at Wilkes University? (check one): O Yes O No
If yes, please make sure to apply as a transfer student.
Please list the career(s) you may choose to enter following your graduation from Wilkes University.
_________________________________________________________________________________________________________________________________________
Have you taken or plan to take the SAT/ACT exam?
______________________________________ ______________________________________ ______________________________________
Date/Exam Date/Exam Date/Exam
Please list the secondary school or preparatory school from which you graduated/plan to graduate:
School name:______________________________________________________________ CEEB Code:________________________ Graduation year:________
Address:_________________________________________________________ City:___________________________________________ Province or State:_______
Country:________________________________ ZIP Code:______________ Current guidance counselor:___________________________________________
Telephone No.:________________________________________________________ E-mail:___________________________________________________________
Please list any college courses you completed while in secondary/preparatory school, or college if you are a transfer student.
(Include any courses taken at Wilkes University. Use additional sheet, if necessary.)
College/University, Course Name, Credits Earned, Dates of Attendance:
__________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
Please tell us about the activities you participated in/offices you held during secondary school. Include any academic honors you may have
received. (Attach a separate sheet, if necessary. Transfer students, please list college activities.)
__________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
What activities or sports do you anticipate participating in while attending Wilkes University?
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
LANGUAGE
What is your first language? ____________________________ Do you speak any other languages? _________________________________________
What was the language of instruction in your school? ___________________________________________________________________________________
Have you taken the TOEFL or IELTS exam? O Yes O No If so, what was your overall score on the exam? ___________________
Do you plan to study English in our Wilkes University Intensive English Program? O Yes O No
If you are not yet proficient in English (able to submit a TOEFL iBT score of at least 60 or an IELTS score of at least 5.5) , you can get a
conditional acceptance with the condition that you enroll in our Intensive English Program until you can provide evidence of English
proficiency. You would be accepted for both your academic program and our Intensive English Program.
NON-IMMIGRANT INFORMATION
What is/are your country/countries of citizenship? ____________________________________________________________________________________
What is your country/place of birth? ___________________________________________________________________________________________________
Are you currently in the U.S.? O Yes O No
If so, on which type of Visa? (Please submit a copy of your visa and other relevant paperwork, i.e. I-20, DS 2019)
________________________________________________________________________________________________________________________________
Do you have any dependents? (Name, Relationship, Country of Birth, Citizenship)
__________________________________________________________________________________________________________________________________________
Submit passport and visa copies for each dependent.
Do you plan to travel outside the U.S. before school starts? O Yes O No
FINANCIAL
Who will sponsor you during your studies at Wilkes University?
__________________________________________________________________________________________________________________________________________
Please submit sponsorship affidavit and evidence of sufficient finances for each sponsor.
If you are sponsored by the government, please provide your ID and financial guarantee.
SHIPPING
O Within U.S. (All shipments will be sent by U.S.Postal Service) Please make sure to update your address if you move.
O Outside U.S. (All shipments will be sent by Federal Express) Please provide:
Street Name: ___________________________________________________________ Building or House Number: ____________________________
City: __________________________________________________________________________ Postal Code: ____________________________________
Phone number: _________________________________________
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International App (Wilkes University)

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Completed 18 July 2020

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