PDF 2020 APPLICATION Lorem ipsum BELMONT - Belmont University

2021 APPLICAT IOLoNrem ipsum

BELMONT

UNIVERSITY

Undergraduate Admission

IS YOUR BELMONT APPLICATION COMPLETE?

APPLICANTS SHOULD MONITOR THEIR BU4U ACCOUNT FOR THE LATEST INFORMATION REGARDING STATUS OF APPLICATION FILE REQUIREMENTS.

CHECKLIST FOR ALL FRESHMAN APPLICANTS o Degree Seeking Application o $50 Application Fee o Official High School Transcript o Official SAT or ACT scores (optional) o School Counselor Recommendation Form (Home-schooled students, please see enclosed Home-Schooled Student

Recommendation Form)

CHECKLIST FOR ALL TRANSFER APPLICANTS o Degree Seeking Application o $50 Application Fee o Official College Transcript(s) (including Dual Enrollment credits) o If you have completed fewer than 24 credit hours at time of application (not including Advanced Placement credit):

o Official High School Transcript o Official SAT or ACT scores (optional)

CHECKLIST FOR INTERNATIONAL APPLICANTS (IN ADDITION TO THE APPROPRIATE CHECKLIST ABOVE) o Foreign Transcript Course-by-Course Evaluation (required for both high school and university transcripts).

See admissions website for approved evaluation companies. o Demonstration of English Proficiency (required for students whose first language is NOT English)

ALL applicants (freshmen, transfer and international) to the School of Music, Department of Theatre & Dance or the songwriting major should see specific instructions at belmont.edu/admissions/apply/admissions.html for requirements involving an audition or portfolio.

AFFIRMATION OF ACADEMIC INTEGRITY The Belmont community values personal integrity and academic honesty as the foundation of University life and the cornerstone of a premier educational experience. Our community believes trust among its members is essential for both scholarship and effective interactions and operations of the University. As members of the Belmont community, students, faculty, staff and administrators are responsible for ensuring that their experiences will be free of behaviors which compromise this value. In order to uphold academic integrity, the University has adopted an Honor System. Students and faculty will work together to establish the optimal conditions for honorable academic work.

Office of Admissions 1900 Belmont Blvd. Nashville, TN 37212

BELMONT.EDU admissions@belmont.edu 615.460.6785 or 800.56ENROLL

Belmont University is a Christian community. The University faculty, administration, and staff uphold Jesus as the Christ and as the measure for all things. As a community seeking to uphold Christian standards of morality, ethics, and conduct, Belmont University holds high expectations of each person who chooses to join the community. In compliance with federal law, including provisions of Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, Belmont University does not discriminate on the basis of race, sex, color, national or ethnic origin, age, disability, military service, or sexual orientation in its administration of education policies programs or activities or admissions. The Director of Title IX Compliance and Prevention Programs serves as coordinator of compliance for these policies. Inquries should be directed to: Lauri Chaudoin, Director of Title IX Compliance and Prevention Programs, Freeman Hall 3rd floor, 1900 Belmont Blvd., Nashville, TN 37212. Phone: 615.460.5661. Email: lauri.chaudoin@belmont.edu.

Illustrations by Lucie Rice ADM-203293

Application for Undergraduate Admission

2

BELMONT UNIVERSITY

Degree Seeking Application

Please enclose your $50 non-refundable application fee, made payable to Belmont University.

DESIRED ENTRY TERM o Spring o Summer o Fall o Year 20_______

CLASSIFICATION o Freshman o Transfer o Re-Enrolling Student o Second Bachelor's Degree

Have you previously applied for admission to Belmont? o Yes o No If yes, for what term?____________________________________ How do you plan to attend? o Full-time o Part-time Are you an employee of Belmont? o Yes o No Are you a dependent of a Belmont employee? o Yes o No If yes, of whom?____________________________________________________________________________________________________________

PERSONAL DATA Name_______________________________________________________________ Preferred Name_______________________________________

Social Security Number __________________________________ Home Phone (__________ )___________________________________________

Address___________________________________________________________________________________________________________________

Address______________________________________________________ Apt. #___________ City________________________________________

County_______________________________ State_____________ Zip Code__________________ Country________________________________

Email Address _____________________________________________________________________________________________________________

Cell Phone (__________ )_______________________________________________

Name of Student Employer ______________________________________ Business Phone (__________ )_________________________________

Birth Date_______ /________/________

o Male o Female

Ethnic Background: Are you Hispanic or Latino?* o Yes o No

*Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member.

o American Indian or Alaska Native o Asian o Black or African American o Native Hawaiian or Other Pacific Islander o White

Marital Status_____________________________ Spouse Name___________________________________________________________________

Occupation/Employer of Spouse______________________________________________ Business Phone (_________ )_____________________

Religious Affiliation ________________________________________________________________________________________________________ For statistical purposes only. Completion is optional.

CITIZENSHIP STATUS: SELECT ONE

o U.S. Citizen

o Permanent Resident

o Dual U.S. Citizen

o Other Citizenship (Visa type_______________________________ )

List any non-U.S. countries of citizenship ______________________________________________________________________________________

Place of Birth_______________________________________________________________________________________________________________

City/Town

State/Province

Country

First Language ______________________________________ Primary language spoken at home________________________________________

Application for Undergraduate Admission

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FAMILY DATA (PLEASE COMPLETE ENTIRE SECTION) Mother's Name_____________________________________________________________________________________ Is she living? o Yes o No Home Address (if different from yours)________________________________________________________________________________________ City________________________________________________________ State_________________ Zip Code________________________________ Occupation (describe briefly)_____________________________ Name of Business/Organization _______________________________________ Business Phone (_________ )________________________ Email Address____________________________________________________________ What colleges/graduate schools did she attend, if any?_________________________________________________________________________ Degree__________________________________________________________________________________ Year______________________________ Father's Name______________________________________________________________________________________ Is he living? o Yes o No Home Address (if different from yours)________________________________________________________________________________________ City________________________________________________________ State_________________ Zip Code________________________________ Occupation (describe briefly)_____________________________ Name of Business/Organization _______________________________________ Business Phone (_________ )________________________ Email Address____________________________________________________________ What colleges/graduate schools did he attend, if any?__________________________________________________________________________ Degree__________________________________________________________________________________ Year______________________________ If not with both parents, with whom do you make your permanent home?_________________________________________________________

Name / Relationship

Phone (_________ )_______________________________________________ Email Address _____________________________________________ Address__________________________________________ City____________________________________ State_______ Zip Code____________ Please check if parents are: o Separated o Divorced o Other (specify)__________________________________________________________ List siblings' names, ages and colleges attended, if any, below. Number of siblings _________________________________________________

__________________________________________________________________________________________________________________________

Name

Age

College(s), if any, with dates of attendance

__________________________________________________________________________________________________________________________________________

Name

Age

College(s), if any, with dates of attendance

__________________________________________________________________________________________________________________________

Name

Age

College(s), if any, with dates of attendance

CURRENT EDUCATIONAL INFORMATION What is your intended major? ________________________________________________________________________________________________

Testing Information

o Yes, I intend to submit official ACT or SAT scores as part of my application. o No, I do not intend to submit official ACT or SAT scores as part of my application (I am applying as a test-optional candidate).

Disciplinary Information

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal or expulsion from the institution.

o Yes o No If yes, please explain fully on a separate sheet.

Have you ever been adjudicated guilty or convicted of a misdemeanor, felony or other crime? Note: You are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded or otherwise ordered by a court to be kept confidential.

o Yes o No If yes, please explain fully on a separate sheet.

Note: Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application, including disciplinary history.

Application for Undergraduate Admission

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ACADEMIC BACKGROUND

____________________________________________________________________________________________________________/_____/_________

High School

City

State

Month/Date/Year of Graduation

If you are not attending high school or college at the present time, please describe your current status or occupation.

__________________________________________________________________________________________________________________________

If you did not graduate from high school, do you have a General Equivalency Diploma (GED)? o Yes o No Issued in what year?________________

In what high school or college courses are you currently enrolled? If on a block schedule, please list all senior year courses. Freshman applicants with dual enrollment credits should complete the below section.

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

TRANSFER APPLICANTS: How many college credit hours are you currently taking (not including Advanced Placement credits)? _________

Have you completed at least 24 credit hours at the time of this application? o Yes o No How many college credit hours have you completed at the time of this application? ________________________________________________ List the names and addresses of ALL colleges/universities at which you have attempted courses, including Belmont if you are a former student (including Dual Enrollment courses). List the most recent college/university attended first. Official transcripts must be mailed DIRECTLY to the Belmont University Office of Admissions from EACH institution.

1.__________________________________________________________________________________________________________________________

College/University

City/State

Dates attended or plan to attend

__________________________________________________________________________________________________________________________

Degree earned/Date

Under what name were you enrolled

Major area of study

2.__________________________________________________________________________________________________________________________

College/University

City/State

Dates attended or plan to attend

__________________________________________________________________________________________________________________________

Degree earned/Date

Under what name were you enrolled

Major area of study

3.__________________________________________________________________________________________________________________________

College/University

City/State

Dates attended or plan to attend

__________________________________________________________________________________________________________________________

Degree earned/Date

Under what name were you enrolled

Major area of study

4.__________________________________________________________________________________________________________________________

College/University

City/State

Dates attended or plan to attend

__________________________________________________________________________________________________________________________

Degree earned/Date

Under what name were you enrolled

Major area of study

Application for Undergraduate Admission

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