Application For Undergraduate Admission - Concordia University
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1
2
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4Application for
Undergraduate Admission
Thank you for applying for admission to Concordia University, St. Paul!
If you need any assistance with the application
Please note that in place of this application,
apply online at
process, please contact our office at
you are welcome to
651-641-8230 or admissions@csp.edu.
.
Please type or print in black or blue ink. All information is necessary to complete your file.
Personal Information
Name ___________________________________________________________________________________________________
FIRST NAME
MIDDLE
LAST NAME
PREFERRED FIRST NAME
Maiden Name ______________________________________
Former Last Name _________________________________
Permanent Address (all mail will be sent to this address) ___________________________________________________________
NUMBER, STREET
APT. #
_________________________________________________________________________________________________________
CITY
STATE
ZIP
Current Address (if different from permanent address) _____________________________________________________________
NUMBER, STREET
APT. #
_________________________________________________________________________________________________________
CITY
STATE
ZIP
Email Address _________________________________________________
Home Phone ( __ __ __ ) __ __ __ - __ __ __ __
Cell Phone ( __ __ __ ) __ __ __ - __ __ __ __
Is it okay to send you text messages? q Yes
q No
Citizenship (Select One): q U.S. Citizen q Non-U.S. Citizen q Permanent U.S. Resident
Social Security Number __ __ __ - __ __ - __ __ __ __
Date of Birth __ __ / __ __ / __ __ __ __
Gender q M q F
MONTH
DAY
YEAR
What is your shirt size?
q S q M q L q XL q XXL
Are you a first-generation college student? q Yes
q No
(You are a first-generation college student if neither of your parents completed a 4-year degree at a college in the USA)
Have you served in the military? q Yes q No
Do you plan to use your military benefits at Concordia? q Yes q No
Have you ever been convicted of a felony? q Yes
q No
If yes, please explain: ________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
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