Application for Admission - All Programs

Download a printable version of this application.

* I wish to begin in (year):
ESL at ACCESS:	OR:	Academic:

* I am seeking admission to:

ESL at ACCESS ONLY until end of term:

OR:

ESL at ACCESS AND (check one below):

Undergraduate (Freshman, Transfer, or 2nd Degree)

Undergraduate Transfer (delete this)

Undergraduate Non-Degree

Master of Business Administration

Master of Education

MCCC Joint Degree Program

Name (as it appears on your passport):
*Given/First Name:	Middle Name (if any) :	*Family/Last Name:

Residential Address (required for immigration information, no PO Boxes):
* Street:	Apt:	* City

State/Province (if any):	* Country:	Zip:

Mailing Address (where acceptance package should be mailed):
Check if same as Residential Address
Street:	Apt:	City

State/Province (if any):	Country:	Zip:

Contact Information:
* Phone Number at Mailing Address (required for express mail delivery):	Phone Number to Contact you (if different):

* Email: (applicant email, not advisor)	* Retype Email:

Personal Information:
* Gender:	* Marriage Status:	* Date of Birth: MM/DD/YYYY	* Age:
Male Female	Single Married
* Country of Birth:	* Citizenship:

Please describe any physical or learning challenges:

If you are currently in the United States, please indicate your visa status:

F-1 or J-1 visa at (where):

Other:

Education: Please list all institutions attended, starting with high school:

Name of School:	City/Country:	Began: (Month/Year)	Ended: (Month/Year)	Major:	Degree Earned or Expected:

Most Recent Employer:

(Graduate students, please include a copy of your resume with this application)

Name:

City:

Began: (Month/Year)

Ended: (Month/Year)

Industry Type:

Position:

Personal Statement (UG, MBA & MEd students only).

Briefly describe why you chose Ashland University, and your educational & career goals.

Certification:

By submitting this application, I hereby certify that information stated is accurate and complete. I understand that any misrepresentation of facts on this application could be cause for suspension from the University. Additionally, I agree to adhere to the conduct norms of the campus community and all policies/regulations of Ashland University.
I Agree

Standardized Test Scores (optional): List any tests taken, or planning to be taken:

Students without evidence of English proficiency will be offered conditional admission and will begin in ESL at ACCESS, the Center for English Studies, on the campus of Ashland University.
TOEFL AU code: 1021	Date Taken:	Score:
IELTS AU code: none required	Date Taken:	Score:
The SAT and ACT are not required, however they can increase the amount of undergraduate scholarship award.

SAT AU code: 1021	Date Taken:	Score:
ACT AU code: 3234	Date Taken:	Score:
The GMAT and GRE are not mandatory, but if taken will assist with your application to our graduate programs.
GRE AU code: 1021	Date Taken:	Score:
GMAT AU code: 14N-HF-22	Date Taken:	Score:

Inquiry Data How did you first learn about Ashland University?
Advising Agency (name):			Advisor's Agency Name:
AU Representative (name):
Friend (name):			Advisor's Name:
Graduate of AU (name):
Internet (website):			Advisor's Email:
Publication (name):
Other (describe):

List any dependants who will be accompanying you.

Family/Last Name:	First Name:	Birth Date (M/D/Y):	Sex:	Relationship:	Country of Birth:	Citizenship:
			M F
			M F
			M F

Housing
I intend to apply for university housing. All full-time undergraduate students who do not live at their primary, permanent resident with immediate relatives are required to live in university housing and participate in the university’s food plan (known as board), unless the student is 22 or over prior to September 1 of the academic year. Occasionally, exceptions to this policy are granted by making application to the Office of Residence Life. Any student who lives off campus without authorization my be invoiced for full room and board charges.
I intend to look for off-campus housing. Graduate students (or students age 22 or over) are not required to live on campus. If you choose to live off campus, you will be placed in temporary housing upon arrival and given information to locate your own housing in Ashland. Affordable apartments and rooms in homes (shared kitchen and bath) are available within walking distance.
Accident & Sickness Insurance
I understand that health insurance is mandatory. All international students in F-1 and J-1 visa status enrolled at Ashland University are required to purchase the accident and sickness insurance plan sponsored by the university, unless coverage from your home country is equal to or exceeds the Ashland University coverage.
Application Follow up
Yes, send me a copy of this application to the following email address.
Email:	(optional)

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