Fillable Paper Application 2020 February (University of Minnesota - Crookston)

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Paper Application 2020 February (University of Minnesota - Crookston)

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Application for First-Year & Transfer Admission
The University’s mission, carried out on multiple campuses and throughout the
state, is threefold: research and discovery, teaching and learning and outreach and
public service.
Apply online at www.umcrookston.edu/apply! By applying online, you’ll create an easy-access account where you can
check the status of your application 24 hours a day!
Are you a first-year or a transfer student?
• Apply as a first year student if:
o The applicant has graduated high school in the same calendar year as their entry term to the University or
o The applicant has completed no other post-high school credit
An applicant who has never attended college after high school is considered freshman, no matter how long ago they
may have attend high school
• Apply as a transfer student if:
o An applicant has taken college credit during or after the fall term following high school graduation.
An applicant who graduates from high school in the spring and takes college course during the summer before
enrolling at UMC in the fall will be considered freshman, since they are entering in the same year as their high school
graduation
Is this application right for you?
• Please complete the Application for Non-Degree seeking students if you will not be taking courses towards a degree at UMC.
University of Minnesota Crookston
Application for First-Year & Transfer Admission
All information on the application is private. The information requested will be used for identification, to determine admission and scholarship awards and to establish your University academic record if you are admitted.
Failure to provide the information may delay or affect your admission decision. Social Security number is voluntary and will be used for positive identification. Failure to provide your Social Security number will have no
effect on the admission decision. Information will be shared with offices within the University for the uses described above and may be released to outside organizations and government bodies in limited circumstances, as
authorized by state or federal law.
A. Applicant Type and Term
Transfer
Summer 20____
First-Year
On campus Online only
Spring 20___
Fall 20_
__
_
2)
Birth date (mm/dd/yy)
Applicant Type:
Program Location:
Although providing your Social Security number is voluntary, please note that the federal
law requires your Social Security number for financial aid, and failure to provide your Social Security on
your application for admission may delay awarding your financial aid.
Country
State
State Zip
Zip
Country
Email
Current mailing address
Address
City
Permanent address (if different than above)
Address
City
Home phone
Mobile phone
Parent’s email
Do we have your permission to text application and admission information? Yes No
C. Confidential Information (optional)
See below for ethnic and racial definitions.
The information provided below is voluntary and will not be used in a discriminatory manner. The questions below comply with the U.S.
Department of Education’s new mandated standards for ethnic and racial data collection.
Yes
No
Asian
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
Black or African American
White
Ethnicity and Race Definitions
American Indian or Alaskan Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippines
Islands, Thailand and Vietnam.
Black or African American: A person having origins in any of the Black racial groups of Africa.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race.
Native Hawaiian/Other Pacific Islander: A person having origin in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
I am a: Permanent Resident (Green Card holder)
Temporary or Non Immigrant Visa holder
Type of visa (e.g., F-1, J-1, H-4, L-2)
Please note: if you are in the U.S. on a temporary visa, the name listed on
this application and your passport must match. You must also include your
permanent home country address above.
Refugee/political asylee
Other (please specify)
State in which you claim legal residence
Is English your native language? Yes No
How long have you lived in that state?
If no: Number of years you have attended school in the United States
Gender: Male
Female
Ethnicity: Are you Hispanic or Latino?
Race, check one or more of the following:
Are you a U.S. citizen?
Yes
No
If No: Country of Citizenship Country of Birth
D.
Residency Information
Personal Pronouns (optional)
Gender identity (optional)
U.S. Social Security number
Former name (if any)
Name
B. Personal Background
Application Plan: Early Action 1_____ Early Action 2_____ Rolling _____
What is your preferred entry term?
Program of Study 1)
E. Educational Background
List all high schools you have attended, starting with the most recent.
High School City/State
From
(mm/yy)
To
(mm/yy)
Graduation Date
If you did not graduate from high school, did you earn a General Education Development (GED) diploma?
Yes
No
List all colleges/universities attended (including other U of MN campuses) where you have taken courses, including PSEO and College in
the High School.
Yes
No
Name of College/University City/State # of credits
U of M ID# (if known)
From
(mm/yy)
To
(mm/yy)
Identify amount of college coursework to be completed before enrolling at the University of Minnesota, Crookston.
Name of institution: # of credits to be completed:
I will not be taking any courses before enrolling
Place of employment
City/State
From
(mm/yy)
To
(mm/yy)
Job Title
Hours/week
F. Activities (Attach an additional sheet if necessary) Please list all current activities and interests you are involved in.
Examples- athletic teams, clubs, volunteering, community groups, youth groups and anything else you may be involved in. We would like to get to know you as a
whole person, including your interests, passions and involvement in your life.
Name of Activity # of years participated Leadership positions, awards, etc.
G. Work History (Attach an additional sheet if necessary)
In order to gain a better understanding of your background, please list any previous and current employers you would like us to know about.
I authorize the University of Minnesota Crookston to give information about my application file or admission or scholarship status to the following person(s):
Name: Relationship to you:
Email:
Name: Relationship to you:
Email:
Name: Relationship to you:
Email:
Name: Relationship to you:
Email:
Are you a currently employed or have you ever worked at the University of Minnesota?
If yes, provide your 7 digit EmplID:
*This would be a unique 7 digit number that identifies you as an employee of the U of M system.
If you cannot recall your number please leave the field blank. You can call the computer 1-HELP
at 612.301.4357 to retrieve this number.
H. Access to your file
Yes No
Have you previously enrolled at the University of Minnesota?
I. Short Answer Questions
Our Admissions Committee carefully reviews the overall assessment of each student's academic preparation and performance, as well as the
additional information beyond reading and writing metrics, as provided in the applicants essay. These short answer questions allow you to
create a unique picture about yourself. Please take the time to provide a detailed response.
We encourage between 75 - 250 words per response.
We suggest crafting your answers in a Word document. Attach an additional sheet with
your first name, last name, and short answers to the
following questions to your completed application.
First-Year Student Questions:
1) We would like to know more about your interest in the University of Minnesota Crookston. What motivated you to apply to UMN
Crookston?
2) Share one thing about your identity, talents, or interests that we might not learn from your application materials.
3) Describe any leadership experience, extracurricular involvement, resume highlights, or job history you have (Optional).
4) Explain your academic performance and why you believe you are ready to be academically successful at a collegiate level. Include
any extenuating circumstances that impacted your academic record (i.e., family, work, personal, economic) (Optional).
Transfer Student Questions:
1) We would like to know more about your interest in the University of Minnesota Crookston. What motivated you to apply to UMN
Crookston? Why have you applied or expressed interest in your particular program/area of study?
2) How will your major and degree help you reach your short term goals? How will it help you achieve your long term goals?
3) If
you are accepted to UMN Crookston, what do you think one of your biggest challenges will be? How do you plan to overcome this
challenge?
4) Many of our students are involved in activities both professionally and academically. Please share any leadership, committee, clubs,
organizations or academic experiences you have.
5) If your academic record does not accurately reflect your efforts and ability, please explain here.
J. Optional: Letter of Recommendation
We do not require letters of recommendation, however, a recommendation can provide an outside perspective and can help us make an informed
decision on your application if you wish to add one.
Add your recommender(s) below.
It is your responsibility to contact your recommender. Please have your recommender email your letter of recommendation to umcinfo@umn.edu or
send it by mail to the Office of Admissions at 2900 University Avenue, Crookston, MN 56716.
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Relationship to you:
Relationship to you:
Relationship to you:
Relationship to you:
Email:
Office of Admissions
| Suite A Owen Hall |2900 University Avenue|Crookston, MN 56716
218-281-8569 |1-800-862-6466|umcinfo@umn.edu|www.umcrookston.edu/admissions
Date:Applicant’s signature:
2) As an adult or juvenile, I have been found legally responsible for a sexual offense or I have sexual offense charges pending against me at this time
Yes
No
1) I have been expelled from, suspended from, or placed on probation at any high school, college or university for academic dishonesty or for
sexual misconduct.
Yes
No
a) If yes provide a detailed explanation. Use an additional sheet if needed.
K. Legal
Misrepresenting answers to these questions may result in the withdrawal of your application or cancellation of admission. If your answers to the
questions below change, you are required to notify the Office of Admission and provide updated answers.
Terms and Conditions
If yes provide a detailed explanation. Use an additional sheet if needed
Fee Waivers:
Fee Waiver Type: Active Overseas Military Other (AVID, TRIO, etc.)
I certify that I meet one or more of the stated requirements and request that my application fee be waived.
L. Application Fee
Please send completed application materials and payment to the following address:
University of Minnesota Crookston • Office of Admissions
Suite A Owen Hall • 2900 University Avenue Crookston, MN 56716
$35 non-refundable application fee.
You can pay the fee by mailing a check to University of Minnesota Crookston Office of Admissions Suite A Owen Hall • 2900
University Avenue Crookston, MN 56716. Make all checks payable to University of Minnesota Crookston. Please write the student name
in the memo section of the check.
The University of Minnesota reserves the right to deny admission to an otherwise admissible applicant if the University determines that the applicant’s enrollment would not be in the applicant’s and/or the University’s best
interest. Students and applicants may receive, on request, information about campus security, graduation and retention rates at the University of Minnesota Crookston. Contact the Office of Admissions.If you would like
information about accommodations for a disability, either as a student or in the admission process, you may contact Disability Services at 218-281-8587 or the Office of Admissions at 218-281-8569. The University of
Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public
assistance status, veteran status or sexual orientation. This publication was prepared by the University of Minnesota Crookston Office of Admissions.
Students who have limited financial resources and meet eligibility criteria set forth by the National Association for College Admission Counseling
(NACAC) will have their application fee waived. Applicants must complete all steps and have the waiver signed by an authorized official before
forwarding to our office.
• UMN Crookston will accept letters in support (on official letterhead) of an application fee waiver from high school officials (counselors, principals, etc.) and representatives of College
Bound Organizations (AVID, TRiO, etc.).
• Application fee waivers can be mailed or emailed. Please include the student's full legal name and date of birth (when possible).
• UMN Crookston waives application fee for applicants actively serving in over seas military.
• UMN Crookston waives application fee for applicants who were degree seeking students and are transferring from the Duluth, Morris, Rochester, or Twin Cities campus.
• UMN Crookston does not waive the application fee for International applicants.
• UMN Crookston does not waive the application fee during Minnesota College Knowledge Month.
• UMN Crookston does not accept cash as application payment.
M. Signature
I certify that the information I have provided on this application and on all other application materials is complete, accurate, and true to the best of my knowledge. I
understand it is my responsibility to request that official transcripts from each academic institution I have attended be submitted directly to the University. I understand
that misrepresentation of application information is sufficient grounds for canceling my admission or registration. (Note: You must sign and date your application.)
Please attach your fee waiver documentation. You can still submit the application without the fee waiver documentation. However, if it is determined
you're not eligible for a fee waiver, a payment of $35 will be added to your account.
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Completed 24 July 2020

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