Documente Academic
Documente Profesional
Documente Cultură
y
Alien Registration Visa
op
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯ ⎯⎯⎯⎯⎯⎯⎯⎯ ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯ ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
ID Number Issue Date Type Country of Citizenship
tC
for the past 12 consecutive months or more. (IS) for the past 12 consecutive months.
I am currently attending college/university outside of Ohio, I am not a resident of the state of Ohio. (OS)
but I am a resident of the state of Ohio.
Ethnicity
Are you Hispanic or Latino? ✔ Yes No
an
Select one or more of the following: Black/African American American Indian/Alaskan Native Asian
Native Hawaiian/Other Pacific Islander ✔ White
I would like to receive important news and information from Cleveland State via text message. Yes ✔ No
Mailing Address
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
Street Apt # Additional Street Information
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
City County State Zip Country
ENROLLMENT PLANS
y
op
Will you have completed a bachelor’s degree prior to your expected enrollment term at CSU? Yes ✔ No
Do you plan to live on campus? Yes No Would you like information about Financial Aid? ✔ Yes No
✔ Undecided
tC
Have you ever pled guilty or been convicted of a criminal Have you ever been dismissed, suspended or placed on
offense or have charges pending against you at this time? probation by any other college, university or high school
Yes ✔ No for a NON-ACADEMIC reason? Yes ✔ No
PREVIOUS EDUCATION
an
High School Graduate or GED? High School Graduate HS Grad Date or Date GED Completed 06/05/2010
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯ ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
Which English Language Proficiency exams have you taken or do you plan to take (International applicants only)?
pl
Education History
Degree Awarded or Expected Yes ✔ No If Yes, Associate’s Degree Bachelor’s Degree Other
⎯⎯ ⎯⎯ ⎯⎯⎯⎯⎯⎯⎯
Degree Awarded or Expected Yes No If Yes, Associate’s Degree Bachelor’s Degree Other
⎯⎯ ⎯⎯ ⎯⎯⎯⎯⎯⎯⎯
Applicant’s
Caeli name mapped here (First
Rosename / Middle name / Last name)
Diamond
y
Degree Awarded or Expected Yes No If Yes, Associate’s Degree Bachelor’s Degree Other
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Name of Institution School Code
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To
No
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
Hours Earned
⎯⎯⎯⎯
an
Degree Awarded or Expected Yes No If Yes, Associate’s Degree Bachelor’s Degree Other
⎯⎯ ⎯⎯ ⎯⎯⎯⎯⎯⎯⎯
Degree Awarded or Expected Yes No If Yes, Associate’s Degree Bachelor’s Degree Other
⎯⎯ ⎯⎯ ⎯⎯⎯⎯⎯⎯⎯
PERSONAL STATEMENT--Please discuss how Cleveland State University will help you achieve your personal and /or career goals. If
your education has not been continuous, please account for your time out of school.
⎯⎯⎯⎯
Cleveland ⎯will
State ⎯⎯ be⎯ ⎯⎯attribute
a great ⎯⎯⎯ to⎯
my⎯ ⎯⎯⎯
personal ⎯ ⎯⎯
success as ⎯ ⎯⎯⎯
a student ⎯a ⎯
and ⎯⎯The
person. ⎯⎯ ⎯⎯
broad ⎯ ⎯⎯
selection of ⎯ ⎯⎯
course ⎯⎯⎯
offerings ⎯programs
and ⎯⎯ ⎯⎯ are⎯ ⎯⎯⎯to
impressive ⎯me,
⎯⎯ and⎯ ⎯⎯
show how⎯much
CSU has to give to me as a student. As a person interested in both furthering my abilities in foreign language (whether or not I decide to major in that area) and traveling abroad, attending
⎯⎯
CSU ⎯be⎯a⎯
will ⎯asset
vital ⎯⎯to⎯ my ⎯future.
⎯⎯Whether
⎯⎯⎯I ⎯ ⎯⎯
decide to ⎯ ⎯⎯
major ⎯⎯⎯
in health ⎯⎯⎯
sciences as I⎯ ⎯⎯⎯intended,
originally ⎯⎯⎯or⎯ in⎯ ⎯⎯⎯which
linguistics, ⎯⎯⎯ I am⎯currently
⎯⎯⎯considering,
⎯⎯⎯⎯in⎯ ⎯⎯
terms of⎯ ⎯⎯
cost, ⎯⎯and
location
opportunities, what CSU has to offer fits my needs and exceeds my expectations.
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
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⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
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