International Undergraduate Admissions Application

? INTERNATIONAL UNDERGRADUATE ?

STUDENT APPLICATION

TEMPLE UNIVERSITY MAJORS

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International Undergraduate Admissions Application

Please submit this application with the $55 application fee to the following address: International Admissions Temple University 1803 N. Broad Street, 714 Carnell Hall Philadelphia, PA 19122 (U.S.A.) P: +1-215-204-4900 E: international.admissions@temple.edu

For faster processing, you can submit this application online. Detailed application instructions are also available online. Please visit the international admissions web page for further information: admissions.temple.edu/international.

Personal Information

1 *Legal Name:

last (family)

first (given)

middle (if none, indicate none)

2 Social Security # (if you have one): 3 *Mailing Address (for receipt of decision letter and other mailings throughout application process; no post office boxes):

street

apartment name and number (if applicable)

city

province or state

postal or zip code

country

4 Telephone:

email address (if you have one)

5 Fax:

6 Date of Birth:

month

8 City of Birth:

7 Sex: Male Female

day

year

9 Country of Birth:

10 Country of Citizenship:

10a Native Language:

11 Is English your primary language ?: Yes No

12 Are you a resident alien or permanent resident of the United States?: No

13 Do you hold a current non-immigrant visa?: Yes No If yes, which one:

14 Will you need to obtain a student visa to come to Temple?: Yes No

If yes, which one: F-1 Student J-1 Student/Exchange Visitor

15 U.S. telephone number and contact person (if available):

16 Your Family:

Mother's (or Guardian's) Name:

last

first

Home Address (if different from yours):

city/state or province/zip code

Father's (or Guardian's) Name:

last

first

Home Address (if different from yours):

city/state or province/ zip code

* =required field

My father mother is a graduate of Temple University:

city/state or province/ zip code

Parent or guardian's email address:

Temple University Admissions Information

17 *Which semester and year are you applying for? Spring (January) Fall (September) Year:

18 *Are you applying as a freshman or transfer? Freshman Transfer (15 or more college credits completed)

19 Have you previously applied for admission to Temple University? Yes No If yes, semester and year:

20 *Campus Choice (select one): Main Ambler Health Science (H.I.M. transfers only)

21 *Do you intend to live in a residence hall on Temple's campus? Yes No

22 *What is your intended major?

22a Temple School/College:

22b Major:

Academic Information

23 *Test Scores: Please report the dates you have taken or will take any of the following tests.

SAT: Date Taken (or will take):

(month/year)

(month/year)

ACT: Date Taken (or will take):

(month/year)

(month/year)

TOEFL: Date Taken (or will take):

(month/year)

(month/year)

IELTS: Date Taken (or will take):

(month/year)

(month/year)

PTE: Date Taken (or will take):

(month/year)

(month/year)

No test score will be submitted. I understand by checking this option that if my academic records qualify me for admission, I will receive Provisional Admission. This means that I will be placed into the Intensive English Language Program prior to my enrollment at the university.

24 *List all secondary schools attended, beginning with the most recent one: A. Name of School:

Address:

number and street

city

province/state/country

postal code

Dates of attendance:

Diploma received:

B. Name of School:

Address:

number and street

city

province/state/country

postal code

Dates of attendance:

Diploma received:

* =required field

25 *List all colleges and universities attended, beginning with the most recent one:

A. Name of School:

Address:

number and street

city

province/state/country

Dates of attendance:

Diploma received:

B. Name of School:

Address:

number and street

city

province/state/country

Dates of attendance:

Diploma received:

26 *List all university-level courses you are currently taking:

Name of College:

Course Title:

Number of Credits:

postal code postal code

Completion Date:

Academic Honors and Extracurricular Activities 27 *Briefly describe any academic honors, awards, extracurricular activities, work, public service experience or achievements

in secondary school or college:

* =required field

Essay

28 Please print or type an essay of 250 to 400 words that tells us more about you. Some suggestions include personal experiences or circumstances that have been important to your personal or academic development; issues that you feel strongly about; personal, educational and career goals; or any other information that you would like the Admissions Committee to know as we review your application.

I understand that any misrepresentation of facts on this application or withholding of information may be cause for refusal of admission, dismissal or other disciplinary action if subsequently discovered. I further understand that I have a continuing duty to promptly notify Temple of any subsequent information of facts that would change, add to, or otherwise relate to this application or my admission status.

X Applicant's Signature

(Note: unsigned applications will be returned for signature.)

Date

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