Online Application Form


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Online Application Form - International

If you are applying to the Graduate Program, please use the Graduate Program application.
Bolded fields must be completed.

PERSONAL DATA
Last name: First: MI: Maiden:

Street:
City:	State: Zip/Postal Code:
Country:
Home Phone:	Work Phone: ext.
E-mail:	Cellular Phone:

Social Security No.: (000-00-0000) Date of Birth: (mm-dd-yyyy)
Sex:	Male Female

Are you a US citizen? Yes No		Green Card? Yes No
Current type of visa:
Country of citizenship:	Country of birth:

Street:
City:	State: Zip/Postal Code:
Home Phone:

Home neighborhood newspaper name:

Employer - Company:
Supervisor Name:		Position/Title:
Address:

Parent Name:
Alumnus:	Yes No	Telephone:
Address:

Parent Name:
Alumnus:	Yes No	Telephone:
Address:

Please list any other colleges to which you are applying:


PROGRAM INFORMATION
Status:	Entering freshman	Transfer
	Non-degree	Certificate
	Full-time (12+ credits)	Part-time (less than 12 credits)
Please note that international students on F-1 visas must be full-time students.

Entrance date:	Fall Winter Spring Summer		Year:

Referral Source - The International Admissions Office is interested in knowing how you learned about Goldey-Beacom College: (Please select all that apply)
Goldey-Beacom College Student - Name:
Admissions Representative
Television
Radio
Newspaper
GBC Website
Other Website:
Magazine
College Fair or High School Visit
Advising Center:
Alumnus - Name:
Guidance Office - Counselor's Name:
Faculty Member - Name: School:
Relative or Friend
Other:

CURRICULUM OF STUDY
Bachelor of Science
Accounting
Accounting and Information Systems (Honors Program)
Business Administration
Business Administration with a concentration in:
Finance Management
Finance Management (Honors Program)
Human Resource Management
International Business Management
Management
Management (Honors Program)
Management Information Systems
Marketing Management
Marketing Management (Honors Program)
Computer Information Systems with a concentration in:
Computer Security and Forensics
Database and Network Administration
Web and Desktop Applications

Associate in Science		Special
Accounting		Non-degree
Business Administration		Certificate Programs
Management		Post-Baccalaureate Certificate in Accounting
Computer Information Systems		Accounting 150 Certificate

EDUCATIONAL BACKGROUND
High-schools you have attended:
School name:
Street:
City/State/Zip:
Dates attended:
Graduation date:

School name:
Street:
City/State/Zip:
Dates attended:
Graduation date:

If you did not complete high school, do you have a GED, equivalent diploma, or certificate? Yes No Year Obtained:

Colleges you have attended:
College name:			Part-time Full-time
Extension or branch:
Street:
City/State/Zip:
Dates attended:
Degree granted:

College name:			Part-time Full-time
Extension or branch:
Street:
City/State/Zip:
Dates attended:
Degree granted:

Previous attendance at Goldey-Beacom College:
Dates attended:		Division: Day Evening
Degree program:		Degree granted:
Name while attending:

SOURCES OF SUPPORT
Are you applying for the International Student Scholarship Program?			Yes No

	Personal funds:		$
	Support from family:		$
	Other (name sources and amounts):
			$
			$
	If you have been awarded financial support through any organization, please indicate source and amount.

HOUSING
College Housing	Off-campus Housing	Undecided

STUDENT ACTIVITIES
High School activities that I have participated in:
I would like to participate in the following activities:
Men's Basketball		Student Host Committee
Women's Basketball		Student Government
Men's Soccer		Resident Student Association
Women's Soccer		Fraternities
Volleyball		Sororities
Softball Cross Country		Student Chapters of Professional Organizations
Golf		International Student Association
Tennis		Faith-based groups
Intramural Sports		School Newspaper

VOLUNTARY INFORMATION
Black/Non-Hispanic		White/Non-Hispanic
Hispanic		Asian or Pacific Islander
American Indian		Multi-Racial


REQUIRED INFORMATION
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
Yes No

Have you ever been convicted of a misdemeanor (other than routine traffic offenses), felony, or other crime?
Yes No

If you answered yes to either or both questions, please explain in the box below the approximate date of each incident and explain the circumstances.


All international students must submit the following materials with the application:
	Official TOEFL or SAT score* Notarized and completed financial certificate Completed medical form Official transcripts translated into English * ACT and IELTS scores are also acceptable
Please Note: International students are required to have medical insurance. Those who do not submit proof of medical insurance to the College will be automatically enrolled in a medical insurance program through Goldey-Beacom College and the cost will be added to tuition and fees.

I certify that the information submitted is complete and accurate. I understand that falsification of information on this application may result in admission revocation or expulsion from the College and forfeiture of all fees paid to date. Goldey-Beacom College is an equal opportunity educational institution. This application is a confidential document.

I understand that is it my responsibility to arrange for the forwarding of official transcripts of records from all secondary and postsecondary schools that I have attended, and that such transcripts and other application materials will become the property of Goldey-Beacom College. I will contact the Admissions Office immediately, if I foresee difficulty in obtaining the required documentation.


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