Revised 4/23/2019
TOEFL Waiver Form
Name:
Email:
Student ID number:
Date of Birth:
Proof of English proficiency is a Manhattan Tech admissions requirement for Nursing and Dental Hygiene applicants. Please review
this form carefully, check the exemption(s) that applies, and attach necessary supporting documentation.
Applicant Check all that apply
I am a citizen of one of the countries listed below
Antigua Australia
Barbuda
Bahamas
Barbados Bermuda British Virgin Islands
Canada (except
Quebec)
Cayman Islands Dominica Grenada Guyana
Ireland
Jamaica
New Zealand St. Kitts and Nevis
St. Lucia Trinidad and Tobago
Turks and Caicos Islands
St. Vincent and the
Grenadines
United Kingdom (England, Northern Ireland, Scotland, Wales)
Proof of citizenship must be provided (passport, visa, birth certificate or permanent resident card).
I have earned a diploma from an accredited U.S. high school or a bachelor degree (or higher) from an accredited U.S.
college or university.
I have attended a U.S. high school for four years or one of the TOEFL exempt countries, below, and have a SAT Evidence
Based Reading and Writing score of 560 or higher (21 ACT English sub score)
I have an SAT Evidence Based Reading and Writing score is 660 or higher (27 ACT English sub score), regardless of where you are
attending or have attended secondary school.
Office of Admissions
3136 Dickens Ave
Manhattan, KS 66503
F: 785.587.2804
Admissions@manhattantech.edu
Signature: ___________________________________________________ Date: _________________________
OFFICE USE ONLY
Approved Denied
Decision by Date
Comments
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome