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PERSONAL PROFILE
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First Name
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Middle Name/Initial
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Last Name
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Preferred Name
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Present Address (Street or PO Box)
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City
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State/Zip
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Citizen of what Country
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Home Phone
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Email
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Date of Birth
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Gender
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Male Female |
Religion |
Enter "No Preference" if none |
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Native Language
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PARENT/GUARDIAN AND SPOUSE'S NAMES
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Father's First Name
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Father's Last Name
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Mother's First Name
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Mother's Last Name
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Spouse's Name |
Enter N/A if none |
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PARENTS' ADDRESS INFORMATION (If not same as above)
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Parents' Address
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Parents' City
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Parents' State/Zip
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Parents' Phone |
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HIGH SCHOOL PROFILE |
Name of High School Attending/ed |
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HS Address |
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Date of HS Graduation |
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ACADEMIC PROFILE |
Anticipated Enrollment Year |
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Fall Spring |
Future Major |
Enter "Undecided" if not certain |
English Test Scores |
(TOEFL, IELTS, etc...) |
Housing preference |
On-campus Parent/Guardian
Other |
List ALL colleges/universities attended
use "Comment" space at end of form if necessary. |
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| Institution 1 City/State |
| Attended (from/to) Graduation Date Degree |
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| Institution 2 City/State |
| Attended (from/to) Graduation Date Degree |
Have you ever been dismissed, suspended, or placed on academic probation at another college or university?
No Yes If Yes, explain the reason below. |
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OTHER INFORMATION |
| Tell us about yourself. List any academic achievements, honors, awards, hobbies, clubs, activities, or other interests. |
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Have you ever been accused, indicted or convicted of a criminal law violation as an adult?
No Yes* If yes, please explain: |
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ACADEMIC REFERENCES
Please list two, other than relatives.
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1. Name |
last, first, middle initial |
Occupation |
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Phone |
(xxx) xxx-xxxx |
Email |
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2. Name |
last, first, middle initial |
Occupation |
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Phone |
(xxx) xxx-xxxx |
Email |
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OTHER FAMILY MEMBER INFORMATION |
| Please list brothers and sisters grades 9-12 below. Note: High school juniors are eligible for a $1000 reduction in tuition if accepted for enrollment early in their senior year at high school. Ask an Ohio Valley Univeristy admissions counselor for full details today. |
Name |
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Birthdate |
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Year HS Graduation |
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Name |
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Birthdate |
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Year HS Graduation |
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| Have any of your relatives attended Northeastern Christian Junior College, Ohio Valley College, or Ohio Valley University? If yes, please list |
Name |
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Relationship to you |
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Name |
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Relationship to you |
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| Who or what influenced you to apply to Ohio Valley University? |
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| Other Comments |
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| I understand that submitting incorrect or false information may result in rejection of this application or dismissal from the University, even if I have been admintted and have begun classes. I understand Ohio Valley University strives to maintain an atmosphere conducive to all aspects of academic excellence and personal development. With these objectives in mind, students are expected to uphold Christian principles and guidelines set forth to maintain them. I AGREE to abide by all institutional regulations as stated in the current college Catalog and Student Handbook. I ASSERT that the information provided above is correct, and I hereby request to be admitted to Ohio Valley University. |
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Ohio Valley University admits students of any race, color, or national and ethnic origin to all the rights, privileges, programs, and activities generally accorded to students. It does not discriminate on the basis of race, color, or national and ethnic origin in the administration of its educational or admission policies, scholarship and loan programs, or other school-administered programs. As required by Title IX of the educational or employment amendments of 1972, the University does not discriminate on the basis of sex in its educational programs or activities or employment except for, and necessitated by, the specific religious tenets held by the institution and its controlling body.
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