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| Personal Information |
Legal name: |
| Last name: |
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| First name: |
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| Middle name: |
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| Preferred first name: |
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| Former last name(s) if any: |
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| Sex: |
Male
Female |
Home address: |
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| E-mail address: |
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Mailing address(if different from above): |
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| Employer: |
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| Business phone: |
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Business address |
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| City: |
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| ZIP: |
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| Date of birth: |
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| Marital status (optional): |
Single
Married
Divorced |
| Are you a U.S. citizen: |
Yes
No, (if no)
Citizen of:
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| Type of visa: |
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| If no, are you a permanent resident in the USA: |
Yes
No |
| Ethnicity (optional): |
if other:
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Educational Information |
| Plan to attend: |
Part-time
Full-time (12 or more credits)
Seeking master's degree at Carroll
Seeking graduate certificate
Non-degree status |
| Field of study: |
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| Desired term of enrollment: |
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| Desired year of enrollment: |
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| Have you attended Carroll University previously: |
Yes
No, Dates:
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| Name used, if different: |
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| I attended as a: |
graduate
undergraduate |
Bachelors degree from: |
| Name of college: |
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| City: |
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| State: |
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| Attendance dates: |
From:
To:
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| Degree earned: |
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| Year received: |
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| Other institutions attended: |
graduate
undergraduate |
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graduate
undergraduate |
Financial Aid: (available only for master's degree students who attend at least half-time - 6 credits or more per semester) |
| Are you eligible for Vetern's Education benefits? |
Yes
No |
| Do you wish to be considered for financial aid? |
Yes
No |
| Have you received financial aid forms? |
Yes
No |
All Applicants Must Complete This Section |
Have you ever been dismissed from school for disciplinary reasons? |
Yes
No |
| Have you ever been convicted of any offense other than a minor traffic violation? |
Yes
No
If yes, please explain.
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Carroll University is committed to maintaining a safe learning environment for all members of the college community. As such, the college requires all applicants who are under current indictment, who have been convicted of a crime (other than a routine traffic offense or a juvenile proceeding), or who have been dismissed from another academic institution for disciplinary reasons, to disclose this information as a mandatory step in the application process. A previous conviction, current indictment or disciplinary dismissal does not automatically bar one’s admission to the university.
I understand that withholding pertinent information on this application, or giving false information, will: (a) make me ineligible for admission to Carroll University; (b) cancel my registration if admission has occurred; and/or (c) subject me to dismissal from the university if I have already enrolled.
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