Personal Information
Term of Entry:*
Semester - Fall Spring
Year -
2008 2009 2010 2011 2012
First Name:*
Middle Name:
Last Name:*
Preferred Name/Nickname:
Social Security Number:*
Gender:*
Male Female
Date of Birth:* (mm-dd-yyyy)
Marital Status:
Single Married Divorced
Permanent Address:*
City:*
State:*
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ---- Puerto Rico Virgin Islands
Zip:*
Home Telephone:* (area code first)
Cell Telephone:
Employer:
Work Telephone:
Email Address:
Are you a U.S. citizen?*
Yes No
If not, are you a permanent U.S. resident?
Yes No
Country of Citizenship:
Race: (optional)
African American Asian American/Pacific Islander Caucasian Hispanic American Native American/Alaskan Multi-Racial/Bi-Racial Other
Religion: (optional)
Name of Hometown Newspaper:
Are you a spouse or dependent of a UE employee?* If yes, please provide his/her name and in what department he/she is employed. Additionally, please contact the Office of Human Resources to obtain a tuition remission application and brochure.
Yes No Name: Department:
Have you ever been convicted of a felony?* If yes, please explain in a letter and send it to the Office of Admission.
Yes No
School/College Information
Select Your Intended Major:
Accounting
Archaeology
Ceramics
Graphic Design
Painting
Pre-art Therapy
Sculpture
Art - Undecided
Visual Communication
Art History
Athletic Training
Biology
Economics
Finance
Global Business
Management
Management Information Systems
Marketing
Biochemistry
Chemistry
Business Administration
Classical Studies
Clinical Laboratory Science
Cognitive Science
Advertising and Public Relations
Journalism
Multimedia Production
Organizational Communication
Computer Science
Elementary Education
Senior/Junior High & Middle School Education
Art Education
English Education
French Education
German Education
Mathematics Education
Physical Education
Science Education
Social Studies Education
Spanish Education
Special Education
Education - Undecided
Civil Engineering
Computer Engineering
Electrical Engineering
Mechanical Engineering
Engineering - Undecided
Creative Writing
Literature
Writing
Environmental Administration
Environmental Science
Exercise Science
French
German
Spanish
Health Services Administration
History
International Studies
Internet Technology
Legal Studies
Actuarial Science Application
Mathmatics
Pre-doctoral
Music Education
Music Management
Music Performance
Music Therapy
Music - Undecided
Neuroscience
Nursing
Philosophy
Physical Therapist Assistant (associate degree)
Physical Therapy (doctoral degree)
PT/Athletic Training
PT/Biology
PT/Interdisciplinary Studies
PT/Exercise Science
Physics
Political Science
Pre-Dentistry
Pre-Law
Pre-Medicine
Pre-Optometry
Pre-Veterinary Medicine
Psychology
Biblical Studies
Theological Studies
Anthropology
Criminal Justice
General Sociology
Gerontology
Preprofessional Social Work
Sport Communication
Sport Management
Acting
Design and Technology
Stage Management
Theatre Generalist
Theatre Education
Theatre Management
Undeclared
Anticipated Classification
Full-Time (12 credit hrs. or more per semester) Part-Time (less then 12 credit hrs. per semester)
Housing Plans
Campus Resident Student (must be full-time student) Commuting Student
High school information :
High School Name:*
High School Type:*
Public Private Parochial Academic Magnet Home School
High School City:*
High School State:*
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ---- Puerto Rico Virgin Islands
Year of Graduation:*
High School Extracurricular Activities, Academic Achievements and Work Experience:
If you are currently enrolled at another university :
College/University Name:
Your Campus Telephone:
Your Campus Address:
Your Campus City:
Your Campus State:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ---- Puerto Rico Virgin Islands
Your Campus Zip:
How long do you expect to be at this location? (approximate date)
List the names, locations and dates of attendence of all post-secondary schools you have attended, including the University of Evansville. Please be sure to include the number of hours attempted and any degree(s) earned. *
College Extracurricular and Academic Achievements:
Scholarship Information
The following information will be shared with the Office of Financial Aid. Check all of the following for which you wish to be considered. If you qualify for more than one of these awards, you will receive the one of highest value. It is possible for scholarships to be reinstated for re-entry students depending upon how long you have been away from the University. The scholarships listed below are for full-time students only.
Are you an Indiana Twenty-first Century Scholar?
Yes No
University of Evansville Academic Scholarship - You must have a minimum 3.0/4.0 cumulative GPA for college level work to be considered for the Academic Scholarship. The scholarship ranges from $4,500 to $7,500 each academic year. Auditions and portfolio presentations are required for students majoring in art, music or theatre. Talent may influence the amount of the merit scholarship. If you have not scheduled an audition or portfolio presentation, please contact the Office of Admission for assistance.
University of Evansville Legacy Award - This scholarship is for children, grandchildren and great-grandchildren of UE graduates. It is worth $5,000 per year. Eligible applicants should complete the following information about the UE graduate:
Name: Relationship: Graduation Year:
United Methodist Scholarship - This award is worth $4,750 per year for students who attend and are confirmed members of a United Methodist Church. Eligible applicants should complete the following information:
Name of Church: Church Minister:
Telephone Number: Church Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ---- Puerto Rico Virgin Islands Zip Code:
Additional sources of assistance such as grants, loans, and work-study may be available. To apply you must file the Free
Application for Federal Student Aid (FAFSA) or the Renewal FAFSA form. The FAFSA is available through any college office
of financial aid or online at www.fafsa.ed.gov .
Yes, I will be filing the FAFSA or Renewal FAFSA Form.
Family Information
You do not need to fill out this section if you meet one or more of the following :
Born before January 1, 1985 (for enrollment in the 2008-2009 academic year), or before January 1, 1986 (for enrollment in the 2009-2010 academic year).
You are a graduate student.
You are married.
You have legal dependents other than a spouse.
You are an orphan or ward of the court.
You are a veteran of the U.S. Armed Forces.
You are determined to be independent for financial aid purposes by the University of Evansville Office of Financial Aid.
Please provide information about the people with whom you currently reside :
Parent A :
Father Step-Father Legal Guardian No father/step-father resides with me
Name:
Daytime Telephone Number:
Employer:
Occupation:
College(s) Attended:
Parent B :
Mother Step-Mother Legal Guardian No mother/step-mother resides with me
Name:
Daytime Telephone Number:
Employer:
Occupation:
College(s) Attended:
Parent C: Biological parent at another address:
Father Mother Other
Name:
Daytime Telephone Number:
Employer:
Occupation:
College(s) Attended:
Please list all other people living in your household. Please include the name, age, relationship to you, the school or college he/she currently attends or has attended, and the current or highest grade/level achieved:
University of Evansville Academic Honor Code and Statement of Certification
Academic integrity has always been a hallmark of the University of Evansville. The Academic Honor Code enables both students and faculty to pursue their scholarly endeavors in an environment of academic freedom. It is an environment that our students both expect and demand. Matriculation at the University of Evansville is contingent upon subscribing to the values of the following honor code:
"I understand that any work which I submit for course credit will imply that I have adhered to this Academic Honor Code: I will neither give nor receive unauthorized aid nor will I tolerate an environment which condones the use of unauthorized aid."
In addition, you hereby certify that the information given on this application is accurate to the best of your knowledge. You understand that all transcripts as well as other admission documents become the property of the University of Evansville and you waive your right to access these documents. You grant permission for your high school and college(s) to furnish all academic information requested by the UE Office of Admission.
Yes, I agree to the terms above.*
Our goal is to make our application as straightforward and concise as possible, while collecting sufficient information to make an appropriate admission and scholarship decision. After we receive your completed application and all required documents, you will be notified about our admission and scholarship decision.
The University of Evansville operates under a non-discriminatory policy with regard to race, color, age, religion, disability, sex and national origin.