Buena Vista University

Salutation

Last Name: (*)

First Name: (*)

Middle Name:

Suffix:

Preferred First Name

Maiden Name

Permanent Home Address: (*)

City: (*)

State: (*)

Zip Code: (*)

Mailing Address: (if different)

City:

State:

Zip Code:

Email Address: (*)

Phone Number: (*)

Alternate Number:

Birthdate: (MM/DD/YYYY) (*)

Sex: (*) Male Female

Social Security Number: (*)

Are you a U.S. Citizen: (*) Yes No

If not, type of Visa: (*)

Status: Freshman Full-time Part-time

For which term are you applying? Year (*)

Status: (please check all that apply) First-year student Full-time Part-time

Will you be applying for financial aid?

If yes, submit the Free Application for Federal Student Aid (FAFSA)

Intended College Major(s): (*) Majors & Programs Offered at BVU:

Housing Request: (*)

On Campus Parent's Home Own Residence
Other, please specify:

Off-Campus Living Policy. Students at Buena Vista University must live in university housing and take their meals in the university dining hall unless excused by the Dean of Student Services for one of the following reasons; (1) the student is married; (2) the student is living with parents or a legal guardian; (3) the student is enrolled for less than 12 semester credit hours; (4) the student has lived in residence halls eight previous semesters at Buena Vista University as a full-time student; (5) he or she is at least twenty-three years of age at the time of course registration; (6) the student has been on active duty in the military service for two complete years.

Marital Status

Single Married Divorced Separated Widowed Other

Religious Affiliation

Baptist Catholic Disciples of Christ Jewish Lutheran Methodist
Presbyterian Episcopal
Other:

Racial/Ethnic Information:

American Indian Asian/Pacific Islander Black/African American Mexican American Puerto Rican White Caucasian
Other:

Please specify any special accommodations you have that should be brought to the attention of the University:

Father's First Name

Middle Name

Last Name

Street Address

City

State

Zip Code:

Father's Social Security Number:

Father's E-mail:

Father's Occupation:

Father's Company/Employer:

Father's Colleges: (Attended/Graduation Year(s))

Mother's First Name

Middle Name

Last Name

Street Address

City

State

Zip Code:

Mother's Social Security Number:

Mother's E-mail:

Mother's Occupation:

Mother's Company/Employer:

Mother's Colleges: (Attended/Graduation Year(s))

Are your parent's divorced/separated? Yes No

If so, with whom do you reside? Mother Father Guardian

List the name(s) of your siblings

Brothers & Sisters	School or College Attended/Attending:	Graduation year

List the name and relationship of any relatives who have attended Buena Vista University:

Name:
Name:
Name:

List all high schools and colleges. Please send in all colleges transcripts from where you have received credit

School or College Attended:	City/State:	Mo/Yr to Mo/Yr	Reason for Leaving:

How did Buena Vista come to your attention?

Why are you considering BVU?

Have you ever been dismissed or suspended from high school?

Yes No

If Yes, please explain

Have you previously applied for admissions to Buena Vista University?

Yes No If Yes, in what year?

To what other college or university have you applied or do you intend to apply?

What factors will be the most importants in your college decisions?

If you have been out of school for more than six months (or will have been by college entrance), please briefly describe your activities during that period:

Which activities do you plan to take part in during college? Please list by priority:

Are you planning to participate in (an) intercollegiate sport(s)

Yes No

Describe briefly any jobs held during the school year:

Number of hours worked per week:

Describe briefly any summer jobs you have held:

Transcripts, test scores and list of activities provide only a partial picture of a candidate for admissions. Please use the following area to enter any other information which maybe important to the Admission Committee in its evaluation of your application:

Have you ever been charged with a violation of the law which resulted in probation, a jail sentence or the revocation or suspension of your driver's license? (*)

Yes No
If you answered yes, please explain the incident: (*)

High School and College Information

ACT Composite:
High School GPA:
High School Size:
High School Rank:
SAT Composite:

FIRST-YEAR STUDENT APPLICATION FOR ADMISSION

Student Information

Permanent Address

Mailing Address (if different)

Other Personal Information

Admissions Information

Majors & Programs Offered at BVU:

Optional Fields

Father's Information

Mother's Information

General Family Information

Student Records