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International Application for Admission

Application For:
*Applying for Term Starting	Fall Spring
*Freshman or Transfer Student	Freshman Transfer
Do you plan to complete a four year degree at Mount Union College?	Yes No
Exchange Program?	1 Year 1 Semester None
Exchange Institution
Degree Sought
Personal Information
Name (as it appears on passport)
*First-Given/Personal
Middle
*Last-Family
*Gender	Female Male
*Your e-mail address
*Marital Status	Married Single
*Telephone
*Country of Legal Residence
*Country of Citizenship
*Date of Birth (Month/Day/Year)
*City of Birth
*Country of Birth
*Home Language
*Primary Language
Permanent Address (No P.O. Box)
*Number & Street
*City/State
*Postal Code (If required)
*Country
Mailing Address if different from Permanent Address (No P.O. Box)
Number & Street
City/State
Postal Code (If required)
Country
Father's Information
*Father's Given Name
*Father's Family Name
*Living or Deceased	Living Deceased
Father's Address
Father's Occupation
Father's Place of Business
Mother's Information
*Mother's Given Name
*Mother's Family Name
*Living or Deceased	Living Deceased
Mother's Address
Mother's Occupation
Mother's Place of Business
Emergency Contact
Name
Telephone
Address
Relationship
Extra-Curricular Information
Please list all activities which you feel have made significant contributions to your development. These activities may be associated with religion, school, or community. Also please list prizes, awards, etc.
Academic Information
First Academic Field of Interest
Second Academic Field of Interest
Third Academic Field of Interest
Educational Background
List in Chronological Order, all schools you have attended, beginning with when you entered secondary and post-secondary institutions.
First Institution
Name of Institution
High School or University?	High School University
Address of Institution
Dates Attended
Month/Year of Graduation
Certificates, Degrees, or Diplomas Received
Second Institution
Name of Institution
High School or University?	High School University
Address of Institution
Dates Attended
Month/Year of Graduation
Certificates, Degrees, or Diplomas Received
Third Institution
Name of Institution
High School or University?	High School University
Address of Institution
Dates Attended
Month/Year of Graduation
Certificates, Degrees, or Diplomas Received
Other Institutions
Test Results
Please have the Official results sent to Mount Union College
SAT
Date Taken
Verbal Score
Math Score
ACT
Date Taken
Score
G.C.E. Examinations
Form V (O Level) Date Completed
Form VI (A Level) Date Completed
TOEFL
Date Taken
Score
IELTS Test
Date Taken
Score
Survey Information
How did you become interested in Mount Union College (Check all that apply)	Your parents or their friends A member of the Mount Union Office of Admissions staff A guidance counselor or teacher A member of the Mount Union Athletic staff An unsolicited mailing from Mount Union Mount Union College web site or other internet resources A college reference or guide book A Mount Union Student (Please List Below) A Mount Union Graduate (Please List Below) Other (Specify Below)
If other, Please Describe
If Student, Please List Name and Class
Have you ever lived in a country other than your passport country?
If so, please list
Personal Statement
I will submit my essay:	Now Later
Please write a brief essay regarding your educational goals
If you are admissible to Mount Union College, How would you like Mount Union College to send your admission documents and I-20/DS-2019?	DHL express mail First Class airmail
Do you require I 20?	Yes No
Do you require DS-2019?	Yes No

	* shows the required fields.