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1
www.ut.edu
UNDERGRADUATE
ADMISSION APPLICATION
2
www.ut.edu
www.ut.edu
Office of Admissions
401 W. Kennedy Blvd.
Tampa, FL 33606-1490
USA
UNDERGRADUATE
APPLICATION FOR ADMISSION
Tel: (813) 253-6211
Fax: (813) 258-7398
admissions@ut.edu
Traditional
Freshman4
(currently enrolled in high
school; no more than 17
college credits earned)
Transfer4
(17 or more university
credit hours completed)
International4
(non-U.S. citizen)
Re-admit4
(previously attended UT but
have not been enrolled for
more than one year)
Continuing Studies4
(may take up to 9 credit hours
per semester)
Post-baccalaureate
degree seeking4
Transient4
(visiting)
Non-degree
seeking & auditor 4
Complete this application or apply online at www.ut.edu/apply.
In addition, the following documents in each category must be received.
• Official high school or secondary school transcript or GED results
• $40 nonrefundable application fee
• SAT and/or ACT scores
• Completed guidance counselor recommendation form (see pages 7-8) or letter
• Essay
• Official transcripts from all colleges and universities attended
(even if courses were not completed)
• $40 nonrefundable application fee
• Official final high school or secondary school transcript with graduation date posted
(if you have not earned an associate degree)
• Photocopy of Florida Registered Nurse License or eligibility of licensure
(BSN completion students only)
• Official high school or secondary school transcript or GED results
• Official transcripts from all colleges and universities attended (transfers only)
• $40 nonrefundable application fee
• Completed guidance counselor recommendation form (see pages 7-8) (freshmen only)
• TOEFL examination score (if English is not your native language)
• SAT and/or ACT scores (if English is your native language or if you attended four years of high
school in the U.S.)
• Financial statement form for international students (see pages 9-10)
• Essay (freshmen only)
• Copy of biographical page of your passport (if available)
• International student clearance form (if currently studying in the U.S.)
• Official transcripts from all colleges and universities attended since withdrawal from UT
• Personal statement on activities since withdrawal from UT
• $40 nonrefundable application fee
• Official transcripts
• $40 nonrefundable application fee
• SAT and/or ACT scores (not required if you graduated from high school more than two years
ago)
• Official transcript from baccalaureate degree granting institution
• $40 nonrefundable application fee
• Official transcripts
• $40 nonrefundable application fee
• $40 nonrefundable application fee
Note: For special circumstances, additional documentation may be required in all categories.
3
4
4
4
4
www.ut.edu
BIOGRAPHICAL
Social Security
Number
Name
(International students:
indicate your name exactly
as it appears or will appear
on your passport.)
Home Address
Required for federal financial aid. If none, please indicate.
Miss
Ms.
Mrs.
Mr. Gender: Male
Female Birth date (month/day/year) ________________________
Last (family name) First Middle Jr., etc.
Usually called (nickname) Former last name(s)
Home address Number and street or P.O. box
(International students: an
City or town County State ZIP or postal code Country
international address is
required. Include street
Home phone (international: country code/city code/number) Cell phone number Fax number
address and P.O. box.)
Email address (print clearly) If Florida resident, date residency established
Mailing address Number and street or P.O. box
Mailing Address
If different from home
City or town County State ZIP or postal code Country
address, please give
your mailing address
for Admissions
Phone number (international: country code/city code/number) Fax number
correspondence.
Failure to answer these
questions will delay the
processing of your
application.
Have you ever been convicted of, committed, pleaded no contest to or had adjudication withheld with respect to a criminal act other than
a minor traffic violation?
Yes No
Are you currently, or have you ever been, charged with or subject to disciplinary action for scholastic or any other type of misconduct at any
educational institution?
Yes No
If yes to either question, please submit a full statement of relevant facts on a separate sheet of paper.
City and country of birth Country of citizenship
If you are not a U.S.
citizen, your response to
Are you a permanent resident of the United States?
Yes No If yes, attach a copy of your Form 12-551 (Green Card)
these items is required for
and list your alien registration number. _____________________________
immigration purposes.
If you are currently in the United States and are not a permanent resident, what type of Visa do you have? _________________________________________
(Please attach a copy of your Visa and I-94 card.)
Are you Hispanic or Latino? Yes No
Check one or more of the following groups in which you consider yourself to be a member:
American Indian or Alaska Native Asian Black or African American Native Hawaiian or Pacific Islander
White or Caucasian Unknown Prefer not to respond
Religious Affiliation First Language (If other than English)
ADMISSION
Are you applying as: Freshman Transfer Re-Admit Continuing Studies (up to 9 credits per term)
Post-Baccalaureate Degree Seeking Transient (visiting) Non-Degree Seeking
Auditor RN to BSN RN to BSN/MSN
Exchange Student (one semester only) Exchange Student (one year only)
Entrance date: Fall (August) 20______ Spring (January) 20______ Summer I (May-June) 20______ Summer II (July-August) 20______
Will you be attending:
Full time (12 or more credit hours per term) Part time
If you checked Summer I or II above, do you plan to be a full-time student during the Fall term? Yes
No
Living arrangements: Campus Commute from home Off campus Uncertain
4
www.ut.edu
ACADEMIC
Official transcript must be
Have you selected a major or area of interest? Yes No If yes, what is it? ___________________________________________
provided. If high school was
International students: To be issued an I-20, an academic area of interest must be indicated.
completed by GED, official
copy of test scores and
Please list all high schools or secondary schools you have attended. List present school first:
partial high school transcript
are required.
School name City State Country Dates Attended
School name City State Country Dates Attended
School name City State Country Dates Attended
Phone number of last school attended Name of your college adviser or guidance counselor
Graduation date _____________________________________ Describe your school:
Public Private
SAT or ACT are required for English-speaking freshmen only. TOEFL test scores are required for both freshmen and transfer non-English speakers.
4Test Information
If you have taken other exams (for example, GCSE, WASC or CXC), College Level Examination Program (CLEP) tests, Advanced Placement tests
or other equivalent university exams, please indicate below on line marked “Other.” Official records of all test scores should be sent directly from the
testing agency or your school.
College Board (SAT) Dates taken Date to be taken Highest scores: critical reading/math/writing
American College Test (ACT) Dates taken Date to be taken Highest composite score
College Board (SAT subject tests) Dates taken Date to be taken Subjects and scores
TOEFL (non-English speakers only) Dates taken Date to be taken Highest TOEFL score
Other Name of test Dates taken Date to be taken
4
Please list all colleges
or universities where
you have taken courses
for credit (whether or
not credit was received),
and send an official
transcript from each
institution as soon as
possible. Failure to list all
schools could result in your
application being denied
or your admission being
rescinded.
Approximate number of credits completed upon entrance to UT ________________________________________________________________________
Name of college or university City State Country Dates attended Graduation date (if applicable)
Name of college or university City State Country Dates attended Graduation date (if applicable)
Name of college or university City State Country Dates attended Graduation date (if applicable)
Name of college or university City State Country Dates attended Graduation date (if applicable)
Will you complete an associate degree or diploma before transferring to The University of Tampa?
Yes No
Name of school where associate degree will be earned (if applicable) __________________________________________________________________
Type of associate degree:
Associate of Arts Associate of Science Associate of Applied Science
Diploma (nurses only) from ______________________________________________________________
Name of school
Courses in progress this term (if applicable)
Courses you expect to complete prior to transferring to The University of Tampa (if applicable)
5
www.ut.edu
PERSONAL
4 Marital Status
Single Married Divorced
(International students:
if accompanied by depen-
dents, the Family Expenses
Spouse’s full name (if married)
section on the Financial
Statement must be com-
Occupation Employer Number of children
pleted.)
Mr. Dr. Father’s full name _______________________________________________________________________________________
4Your Father
Home address (if different from yours)
Phone number (international: country code/city code/number) Cell phone number
Occupation Employer Highest education level
4Your Mother
Ms. Mrs. Dr. Mother’s full name ___________________________________________________________________________
Home address (if different from yours)
Phone number (international: country code/city code/number) Cell phone number
Occupation Employer Highest education level
4Your Siblings
Please list all of your siblings’ names and ages.
4Additional
If you are not living with both parents, with whom do you reside?
Information
Relatives, friends or teachers who have attended or now attend The University of Tampa (list name, relationship and graduation date, if known)
4 Employment
Name of company
Information
(
If applicable)
Title/position
Does your company have a tuition reimbursement plan? Yes No
If yes, what percentage of tuition does it cover? 75% 50% Other
If other, please explain.
4 Academic
Do you plan to try out for an NCAA Division II sport?
Yes No Uncertain If yes, which sport?
Honors and
Extracurricular
Briefly describe any scholastic distinctions, extracurricular and personal activities since the ninth grade or in college.
Activities
Activities in which you participated during high school or college:
Band
Choir Musical Theater Piano Orchestra
List instruments you play.
6
www.ut.edu
FINANCIAL AID
4U.S. Citizens and
Permanent
Residents Only
Do you wish to be considered for need-based financial aid? Yes
(Submit the FAFSA after Jan. 1. It is available online at www.fafsa.ed.gov.)
Are you eligible to receive veterans benefits? Yes
No
No
Have you applied for or received an ROTC scholarship? Yes No Type: Army Air Force Naval
If no, would you like to receive information about ROTC opportunities at The University of Tampa? Yes No
OTHER
How did you first hear of The University of Tampa?
If you have visited The University of Tampa, when and on what occasion?
ADMISSIONS ESSAY
4 Traditional
Please write a carefully constructed essay on ONE of the following topics:
Freshmen Only
What are your three favorite words in the English language? Explain what they mean to you.
Discuss your childhood neighborhood and how it shaped you as a person.
Describe how you feel about the month of February.
If intelligent life does exist on another planet, should humans attempt to make contact? Why or why not?
SIGNATURE
The statements contained in this application are complete and accurate. Falsification of information on this application may result in disciplinary action,
denial of admission and invalidation of credits or degrees earned.
I understand that the application fee is nonrefundable.
Applicant’s signature Date
The University does not discriminate on the basis of gender, race, age, color, handicap, religion, sexual orientation or national or ethnic origin in the recruitment,
admission and advancement of students or in the recruitment, employment and advancement of faculty and staff or in the design and operation of any of its
programs and activities.
7
www.ut.edu
Office of Admissions
401 W. Kennedy Blvd.
Tampa, FL 33606-1490
USA
Tel: (813) 253-6211
Fax: (813) 258-7398
admissions@ut.edu
4 To the Applicant:
Freshmen
Applicants Only
(FRESHMEN APPLICANTS ONLY)
GUIDANCE COUNSELOR RECOMMENDATION
After you have completed the information in this panel, give this form to your
guidance counselor. UT will also accept a letter of recommendation from your
counselor.
Social Security Number
If none, please indicate.
Student name Last (family name) First Middle
Permanent address Number and street or P.O. box City or town County State ZIP/postal code Country
Home phone
School now attending
I recognize the confidential nature of this document and I:
Do Do not waive my right to access
Student signature Date
The student above is applying to The University of Tampa. Your candid opinion of this student’s academic performance, intellectual promise and qualities as a
4 To the Counselor:
person will be of significant value to the Admissions Committee. Please complete and return this form as soon as possible. Thank you for your help.
How long have you known the applicant? ______________ Applicant’s cumulative grade point average ______________
Rank in class: Number ______________ Total number of students ______________ Number of semesters based on ______________
Below Average Average Good Excellent No Basis for Judgment
4 Academic Rating
On the basis of academic ability, how would you recommend this applicant to The University of Tampa?
Highly recommend Recommend Recommend with reservations Not recommended
Natural ability
Achievement in relation to ability
Study habits
Motivation
Quality of written English
4 Character and
Below Average Average Good Excellent No Basis for Judgment
Personality
Emotional maturity
Reliability
Industry and initiative
Leadership
Cooperation with others
Respect accorded by faculty
Involvement
Achievement
On the basis of character and personal promise, how would you recommend this applicant to The University of Tampa?
Highly recommend Recommend Recommend with reservations Not recommended
(Please see next page.)
8
www.ut.edu
(FRESHMEN APPLICANTS ONLY) GUIDANCE COUNSELOR RECOMMENDATION
Office of Admissions
401 W. Kennedy Blvd.
Tampa, FL 33606-1490
USA
Tel: (813) 253-6211
Fax: (813) 258-7398
admissions@ut.edu
Guidance counselor’s name (print)
Signed
Title
Date
School name
Phone number Fax number Email
Please use the following space for any additional comments you believe would be helpful to
the Admissions Committee in assessing the applicant’s promise as a successful student at
The University of Tampa.
When complete, please return to:
The University of Tampa
Office of Admissions
401 West Kennedy Blvd.
Tampa, FL 33606-1490
USA
9
www.ut.edu
Office of Admissions
401 W. Kennedy Blvd.
Tampa, FL 33606-1490
USA
Tel: (813) 253-6211
Fax: (813) 258-7398
admissions@ut.edu
(FOR NON-U.S. CITIZENS ONLY) FINANCIAL STATEMENT
This Financial Statement must be completed in full by all non-immigrant applicants. Before
an I-20 form can be issued for use in obtaining a visa for study in the United States, students
must document first-year funds and project the source and availability of funds for each
subsequent year. Permanent residents do not need to complete this form but must furnish
proof of their permanent status. Submitting this form should not delay your application; it
can be sent later.
BIOGRAPHICAL
Name (List name as on passport): ____________________________________________________________________________________________
Last (family name) First Middle
Country of citizenship: _____________________________________________________________________________________________________
Sex:
Female Male Marital status: Single Married
Are you currently in the U.S.? Yes No
If yes, what kind of Visa do you have? _________________________________________________________________________________________________
Does your country restrict dollar exchange?
Yes No
If yes, what is the maximum dollar amount permitted per student for one year? $ __________________________________________________________
FAMILY EXPENSES
If you are married and plan to bring dependents, you must certify an additional $5,000 for each dependent per year. Each dependent is issued their own I-20 form.
Dependents who will accompany you:
Name Relationship to student Date of birth Country of birth
Last (family name), First, Middle (month/day/year)
10
www.ut.edu
(FOR NON-U.S. CITIZENS ONLY) FUNDS
In computing your expenses, keep in mind that U.S. immigration regulations do NOT allow students holding student visas, or their spouses, to work, except under
extraordinary circumstances. Therefore, you should not anticipate employment as a means of support while at the University. Financial documentation must be
current and reflect resources within nine months of the date of initial enrollment at The University of Tampa.
Student personal funds: $ _____________________________
4 Source and
Enclose a bank statement verifying amount of funds on bank letterhead stationery, signed by a bank official.
Amounts of
Financial
Family sponsor: $ _____________________________
Support
Sponsor must complete the Affidavit of Support section on this form and provide a bank statement
(in U.S. dollars)
verifying funds on bank letterhead stationery, signed by a bank official.
Private sponsor: $ _____________________________
Sponsor must complete the Affidavit of Support section on this form and provide a bank statement
verifying funds on bank letterhead stationery, signed by a bank official.
Government/corporation scholarship/loan: $ _____________________________
Enclose a certified copy of your letter of award or loan approval.
4 Verification
of Bank Funds
This will certify that the funds indicated above are on deposit or are being held in the name of the applicant, family members or sponsors (named above).
Verification of amounts is without liability to the financial institution or its officials. Attach separate statements of accounts with official signature/seal.
Financial institution
Title of financial officer
Financial officer’s signature/seal
AFFIDAVIT OF SUPPORT
4
To be completed by family
or private sponsor
Student name Last (family name) First Middle
Relationship of sponsor to student
Amount of funds available to student per year
I hereby certify that I agree to provide the funds indicated to the above named student applicant for the purpose of study at The University of Tampa.
I will provide this financial support for the duration of the applicant’s course of study. If this commitment is not met, the student may be subject to
dismissal from the University for non-payment. I have provided bank statements verifying my means of financial support.
Name of sponsor
Address of sponsor
Sponsor’s signature
I hereby certify that all of the information on this form is accurate to the best of my knowledge. I will be responsible for all tuition, fees and living expenses
incurred during my studies at The University of Tampa. Falsification of information on this application may result in dismissal or non-admission.
Applicant’s signature Date
Note: If you are currently studying in the U.S., please request an international clearance form from the Office of Admissions.
11
www.ut.edu
ADDITIONAL COMMENTS / INFORMATION
12
www.ut.edu
ADDITIONAL COMMENTS / INFORMATION
REV. 08/12
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