Undergraduate Full-Time Inquiry Form

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Student Personal Information

First Name (Legal)

Last Name

Date of Birth

Sex

Primary Citizenship

Secondary Citizenship

Are you a US Permanent Resident/Green Card holder?

Yes

No

Do you currently hold a US VISA?

Yes

No

Which type of US VISA do you currently hold?

If Other, please enter your current VISA status code

Do you plan to apply for an F1 student VISA for Sacred Heart University?

Yes

No

Do you plan to transfer your F1 VISA to Sacred Heart University?

Yes

No

Are you working with an Agent/Educational Consultant?

Yes

No

What Agency/Educational Consultant are you working with? (type to search)

Skype User Name

First Language

Second Language

Do you plan to take ESL courses?

Yes

No

Parent/Guardian Information

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Student Contact Information

Current Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile Phone

Home Phone

Is this address different than your permanent address? (If yes, we will ask for this address.)

Yes

No

Permanent Address

Country

Street

City

Region

Postal Code

Parent/Guardian Information

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Academic Information

Please indicate the following: "I am currently a ______ in high school."

Intended SHU Entry Term

Admit Type

Freshman

Freshman International

Transfer

Transfer International

High School from which you will graduate (type to begin search)

CEEB Code

SHU Undergraduate Major of Interest

College from which you will transfer (type to begin search)

CEEB Code

SHU Undergraduate Program of Study

Do you plan to live on campus?

Yes

No

*SHU does not accept BSN transfer applications. Visit www.sacredheart.edu/sdanursing for information on the second degree accelerated BSN program. Please select another major of interest if you would like to submit this form.

SHU Graduate Program of Interest
* Indicates Freshman Admission to the Graduate Program is available

*Students interested in pursuing a graduate program in Education (Elementary M.A.T. & Education Certificate) must select one of the following Undergraduate Majors:

Elementary Education (Interdisciplinary Studies Major)
Elementary Education (Interdisciplinary Studies - STEM Major)

Please ensure you have selected one of these Undergraduate Majors above.

*Students interested in pursuing a graduate program in Education (Secondary M.A.T. & Education Certificate) must select one of the following Undergraduate Majors:

Biology
Chemistry
English
History
Mathematics
Spanish

Please ensure you have selected one of these Undergraduate Majors above.

*Students interested in the Occupational Therapy Graduate Program at SHU must select one of the following as their Undergraduate Major:

Exercise Science
Health Science
Psychology
Sociology

Please ensure you have selected one of these Undergraduate Majors above.

*Students interested in the Speech-Language Pathology Graduate Program at SHU must select the following Undergraduate Major:

Communication Disorders

Please ensure you have selected this Undergraduate Major above.

If you are you interested in pursuing a career in medicine or law after college, please select which of our corresponding Pre-Professional Advisement Programs would best suit your interest

*The Pre-Medical program is for students interested in pursuing a career as a medical doctor.

Are you interested in our 3+2 Dual Bachelor's Degree Engineering Program with Columbia University or Rensselaer Polytechnic Institute?
(Please note SHU offers traditional undergraduate degree programs in Computer Engineering or Electrical Engineering that are separate from this program and may be selected as your Undergraduate Major above)

*Students interested in the 3+2 Dual Bachelor's Degree Engineering Program with Columbia University or Rensselaer Polytechnic Institute must select one of the following Undergraduate Majors:

Chemistry
Computer Science
Mathematics

Please ensure you have selected one of these Undergraduate Majors above.

Are you interested in our 3+3 Bachelor's - J.D. Program with Seton Hall Law School?

* Students interested in the: 3+3 Bachelor's and J.D. program with Seton Hall University Law School must select one of the following Undergraduate Majors:

Chemistry
Criminal Justice
English
Global Studies
History
Philosophy
Political Science
Psychology
Sociology
Spanish
Theology & Religious Studies

Please ensure you have selected one of these Undergraduate Majors above.

Are you interested in our 3+3 Bachelor's - Pharm. D. Program with University of Saint Joseph School of Pharmacy?

* Students interested in the: 3+3 Bachelor's - Pharm. D. program with University of Saint Joseph School of Pharmacy must select one of the following Undergraduate Majors:

Biology
Chemistry

Please ensure you have selected one of these Undergraduate Majors above.

Are you interested in our Bachelor's - D.O. Program with Lake Erie College of Osteopathic Medicine?

Extracurricular Interest Information

Are you interested in playing a Varsity (NCAA Division I) sport at SHU?

Yes

No

Varsity (NCAA Division I) Sport of Interest #1

Do you have another Varsity Sport of interest?

Yes

No

Varsity Athletics (NCAA Division I) Sport of Interest #2

Do you have another Varsity Sport of interest?

Yes

No

Varsity Athletics (NCAA Division I) Sport of Interest #3

Select a SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

Do you have another SHU Extracurricular Activity you would like to add?

Yes

No

Select another SHU Extracurricular Activity of interest to you:

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Undergraduate Full-Time Inquiry Form

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