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Application for Admission for International Students

::::::: PERSONAL INFORMATION

Last Name
First Name
Middle Name
Other Names by which your records may be listed
Preferred name/Nickname
Home Address/Mailing Address
City
Province
Country
Postal Code
Home Phone #
Mobile Phone #
Date of birth (mm/dd/yyyy)
Gender
Marital Status

::::::: PARENT/GUARDIAN INFORMATION

Parent(s) or Guardian(s) names

::::::: ACADEMIC INFORMATION

I am applying as a
Semester in which I would like to begin:
Name of High School or Secondary School
High School or Secondary School Graduation Date (MM/YYYY)
High School or Secondary School City
High School or Secondary School Country
If a transfer student - what is the name of the college you are transferring from?
I have taken or will take the
Date(s) of SAT, ACT, or TOFEL test(s)
0 /
Please make sure your test scores are sent from appropriate testing agency.

::::::: INTENDED MAJOR - Select only one major, please.

Associate's Degree Programs
Bachelor's Degree Programs

::::::: ATHLETIC & EXTRACURRICULAR INTERESTS

I am interested in the following varsity athletic teams (collegiate level):
Men's Athletic Teams
Women's Athletic Teams

**All athletes must complete the misconduct attestation form: Download Here

Extracurricular Activities

::::::: OTHER INFORMATION

I plan to live
May we text you?
Do you have family who have graduated from AB?
If yes, please list name(s) and relationship of family member:
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If you have a ZeeMee account, please paste your link here:

::::::: APPLICATION SIGNATURE & AUTHORIZATION

Signature
Date
I certify that the information provided on this application is complete and accurate to the best of my knowledge. I understand that I am responsible for requesting official transcripts from previously attended institutions (high school and/or colleges and universities) and that such transcripts become property of Alderson Broaddus University and will not be returned to me. I also understand that acceptance to the University is subject to verification of official records sent directly from the institutions I have attended.
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