APPLICATION FOR UNDERGRADUATE ADMISSION
IGNATIUS UNIVERSITY (Indianapolis, Indiana)
Mail to:
Undergraduate Admissions office
2295 Victory Blvd.
Staten Island, NY 10314
(718) 698-0700
No application will be considered without an application fee of $50 (non-refundable) enclosed.
Please type all information:
______________________________________________________________________________________________
Personal Information:
______________________________________________________ญญ________________________________________
Last Name First Name Middle Name Social Security Number
______________________________________________________________________________________________
Former Last Names, if any.
______________________________________________________________________________________________
Address
City ______________________County_______________________State________________Zip______________
Home Telephone (area code)_________________________________Fax________________________________
E-mail________________________________________________________________________________________
Full-time Employer (if any) __________________________________________________________________
Business Telephone (area code)_____________________________Fax________________________________
Sex __Male __Female Date of Birth ___/___/___ Marital Status: ___Single ___Married ___ Other
If married, Spouse's Full Name________________________________________________________________
Highest Education_____________________________________________________________________________
Citizen of USA __ Yes __ No If no, __ International __ Resident
Religious Preference (optional)_______________________________________________________________
Parish or Congregation and City ______________________________________________________________
Ethnic Origin (optional) __White
__Asian-Pacific Islander
__Hispanic
__African-American
__Native-American
__Other
Required Photos: Attach the following: photocopy of Driver's License and Passport; current
original professional passport size photo; several snap shots of yourself.
All photos must have your signature on the bottom of photo.
Optional Photos: Snap shots of you with family and/or relatives and friends. All these
photos are especially important today in view of Distance Learning.
______________________________________________________________________________________________
Family Information:
Father or Legal Guardian's Full Name: ________________________________________________________
Address (if other than yours): _______________________________________________________________
Telephone (if other than yours): _____________________________________________________________
Did father attend college? __Yes __No If yes, state where: __________________________________
Mother's Full name (include Maiden name): ____________________________________________________
Address (if other than yours): _______________________________________________________________
Telephone (if other than yours): _____________________________________________________________
Did mother attend college? __Yes __No If yes, state where: __________________________________
Names and ages of brothers, sisters, or children: ____________________________________________
List name and relationship of any relatives who are attending or have attended
Ignatius University: _________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
How did you learn about Ignatius University? _________________________________________________
______________________________________________________________________________________________
Academic Information:
Intended Major: ___________________________ Minor _______________________ Degree _____________
Objective: __ Bachelor (4 years) __ Associate (2 years)
Requested Date of Student Enrollment: ___Term ___Year __October __February __June __Continuous
Date you wish to begin: ______________________________________________________________________
Student Status: __FR-First-time Freshman
__Adult Freshman (24 years or older)
__TR-Transfer
__SD-Second Bachelor's Degree
__SP-Second Ignatius Degree
__CE-Certification Only
__HI-Special High School
Student Classification: __Full Time
__Part Time
Learning Location: I wish to study in __Indianapolis
__Staten Island
__by Distance Learning
__Europe
__Combination
Housing Plan: __Campus Housing __Commute
To which colleges are you applying ___________________________________________________________
______________________________________________________________________________________________
High School Information:
Name of High School___________________________________________________________________________
Address_______________________________________________________________________________________
City ______________________County_______________________State________________Zip______________
School Telephone_____________High School Counselor______________________________
High School CEEB Code________
Dates of Attendance from__________to ________
Date of Graduation______________or date of GED_________________
Date you took (or plan to take) Scholastic Aptitude Test (SAT) Month_______Year_____
SAT scores must be sent to IGNATIUS UNIVERSITY ADMISSION'S OFFICE.
Have you requested that high school transcript be sent to Ignatius University? ___Yes ___No
(If no, please send as soon as possible).
______________________________________________________________________________________________
Previous College Attendance:
Name of Institution______________________ Location____________________
From ____/____ to ____/____ Credits ____ Degree _____________________
Name of Institution______________________ Location____________________
From ____/____ to ____/____ Credits ____ Degree _____________________
Name of Institution______________________ Location____________________
From ____/____ to ____/____ Credits ____ Degree _____________________
Please request that official transcripts be sent from each school to Ignatius University,
Office of Admissions.
HIGH SCHOOL EXTRACURRICULAR ACTIVITIES AND COLLEGE EXTRACURRICULAR (Optional)
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________________________________________________________________________________
Letters of Recommendation
Two letters of recommendation are necessary: one letter from any teacher at your high school
or college recommending you for college studies; this letter must be on school stationery; the
second letter is needed from a clergy person indicating your good moral character; and this
document should be submitted on clergy stationery.
IMPORTANT: Misrepresentation in any statement may be considered sufficient reason for refusal
of admission or cancellation of admission after acceptance. High School and/or
College transcripts and SAT must be sent to the above address before your
application will be considered for admission. Please Note: Transcripts, once
submitted, become the property of the Ignatius University and are not returnable.
IGNATIUS UNIVERSITY DOES NOT DISCRIMINATE ON THE BASIS OF GENDER, RACE, AGE, HANDICAP.
NATIONAL ORIGIN OR CREED IN ADMINISTRATION OF ANY OF ITS POLICIES.
I hereby certify that the information given in this application is accurate and complete,
to the best of my knowledge. If I am accepted as a student, I agree to abide by the policies,
philosophy of conduct, and expectations of IGNATIUS UNIVERSITY. I have read in its entirety
the information on Ignatius University including the material on history, mission,
accreditation, degree requirements, grades and fees.
Date_____________________Signature____________________________________________________________
Please return completed application to: Office of Admissions
Ignatius University
2295 Victory Boulevard
Staten Island, N.Y 10314