Application For Undergraduate Admission - Concordia University (Page 2 of 4) in pdf

Enrollment Information

What term are you applying for at Concordia University, St. Paul? q Fall q Spring q Summer

Year: 20__ __

Entering status: q Freshman q Transfer

Do you plan to live on campus? q Yes

q No

Please note that freshmen and sophomores are required to live on campus if they are not living with their parents or legal guardian.

Do you plan to apply for financial aid? q Yes

q No

Before becoming at least a part-time student at a Minnesota post-secondary institution, did you or will you reside in

Minnesota for 12 consecutive months? q Yes

q No

By July 1, 2015, will you have graduated from a Minnesota high school while residing in Minnesota? q Yes

q No

Family Information

(Optional)

Guardian 1 q Contact in case of emergency

Guardian 2 q Contact in case of emergency

Name ______________________________________________

Home address _______________________________________

____________________________________________________

What is this person’s relationship to you? _________________

Phone ______________________________________________

Email ______________________________________________

Is this person a Concordia St. Paul graduate? q Yes q No

Siblings

Please give names and ages of your brothers or sisters. If they have attended or are currently attending college, give the names of the under-

graduate institution, degree earned and approximate dates of attendance. If more than two siblings, please list them on an attached sheet.

_____________________________________ School Attended __________________________Expected Graduation _______

NAME, AGE, RELATIONSHIP

_____________________________________ School Attended __________________________Expected Graduation _______

NAME, AGE, RELATIONSHIP

Family Legacy

Please list any immediate or extended relatives who have attended or graduated from Concordia University and years of graduation, if known.

This also includes the university’ s previous designation as Concordia College and Concordia High School.

__________________________________________________________________________________________________________

Educational Record

Please list the names of ALL high schools, colleges and technical schools attended. It is your responsibility to request that all transcripts be

sent to Concordia. Failure to provide a complete academic record may result in withdrawal of acceptance. Please use and attach a separate sheet of

paper if necessary. Any transcripts from non-United States schools must be translated into English and evaluated by a credential evaluation company.

If you have extracurricular, church, community, academic honors or any other relevant information you would like considered, please

attach a résumé with your application.

Are you homeschooled? q Yes

q No

Do you have a GED? q Yes

q No

High School(s):

__________________________________________________________________________________________________________

NAME

CITY

STATE

DATES ATTENDED

GRADUATION DATE

__________________________________________________________________________________________________________

NAME

CITY

STATE

DATES ATTENDED

GRADUATION DATE

Colleges, Technical or Other Post-High School(s):

__________________________________________________________________________________________________________

NAME

CITY

STATE

DATES ATTENDED

GRADUATION DATE

__________________________________________________________________________________________________________

NAME

CITY

STATE

DATES ATTENDED

GRADUATION DATE

__________________________________________________________________________________________________________

NAME

CITY

STATE

DATES ATTENDED

GRADUATION DATE

Application For Undergraduate Admission - Concordia University Page 2

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