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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
Postal Code
Home Phone #
Mobile Phone #
Date of birth (mm/dd/yyyy)

::::::: 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
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.

::::::: ATHLETIC & EXTRACURRICULAR INTERESTS

I am interested in the following varsity athletic teams (collegiate level):

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

::::::: 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:
0 /
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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Meet your International Student Coordinator

Dr. Jill Nussel is the Alderson Broaddus International Student Coordinator. She has over 15 years of experience teaching and working with international students at the college level. Dr. Nussel is the SEVIS Designated School Official (DSO) you will see most often. Contact Dr. Nussel any time you have a question about your immigration status, if you plan a trip outside the United States, apply for internships, or if you plan to look for work.

Dr. Nussel’s office is in Burbick Hall #129 in the Admissions Office on the first floor.