Café 1040

Name*

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Maiden Name (if applicable)

Preferred Name

Date of Birth*

Gender*

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Marital Status*

Single
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Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

SSN*

Ethnicity

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Are you a U.S. citizen?*

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Country of Citizenship (if other than a U.S. Citizen):

Visa Status (if not a U.S. Citizen):

Permanent U.S. resident?*

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Are you a veteran or dependent of a veteran?*

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No

Have you ever been convicted of a crime other than minor traffic violations?*

Yes
No

If yes, please explain:

Please briefly explain your desire to attend Point University:*

Transient / Host School Information

Name of home institution:*

When would you like to start?*

Hidden

Please list the course number in which you desire to take:

A full listing of available courses may be found on our course schedules.

On a scale of 1-10, with one being "no ability" and ten being "high ability", how would you rate your ability to relate to cooperatively and peacefully with others?*

Please enter a number from 1 to 10.

Certification

In applying to Point University, I accept the mission and objectives of the University as published in the University catalog. By signing below, I fully accept responsibility for reading and understanding current and future information sent from Point University. This includes policies, procedures, and deadlines communicated to me by Point. I hereby agree that photographs taken of me while I am a student of Point University may be used in University-Sponsored publications, advertisements and other marketing materials, as well as on the Point website. I understand that this application is for admission and is not intended for degree-seeking status, and that if I desire to seek a degree in the future, I must apply as a degree-seeking student. I have permission from my home institution to be a transient student at Point, but I understand this does not guarantee that all of the classes I take will transfer back to my home institution. Transferability is determined by the registrar at my home institution. I permit my academic record (transcript) to be released to my institution at the end of the semester. I certify that this application is accurate and complete to the best of my knowledge. I understand that withholding information requested in this application or giving false information may make me ineligible for admission to Point University. NOTE: Point University admits qualified students whose character is compatible with the purpose of the University without regard to age, gender, color, race, nationality or ethnic origin, or disability.

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Student Opportunity

Admissions Office

Café 1040

Transient / Host School Information

Certification