Application For Admission Undergrad Central Michigan University

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Global
Campus
Undergraduate Admission Application
This application packet contains a record of the information you submitted in your online application as well as blank forms
that may be required to complete the application process. Please carefully read all the material.
1)
A non-refundable $50.00 application fee to Central Michigan University, 802 Industrial Drive, Mount Pleasant, MI 48858 must
be received before your application will be processed. The application fee can be paid by check, money order or bank draft
payable to Central Michigan University, or apply payment to American Express, Discover, MasterCard, or Visa cards (cash is
not accepted). Your fee statement appears at the end of this application packet.
2) Students who have never attended a college or a university must submit one official transcript documenting high school
graduation or GED certificate. All transfer students must have the registrars of all undergraduate institutions attended submit
one official transcript of all undergraduate work completed. Use the transcript request form found in this packet.
PERSONAL DATA
Name: _________________________________________________________________________
______________________
(last, first, middle)
(former/maiden, if any)
SSN#: ______________________________________
CMU Student ID#: ______________________________________
(optional)
Permanent Address: ____________________________________________________________________________________
(street/apt. #)
________________________________________________________________________________________________
(city, state/region, zip/postal code)
_______________________________________________________________________
_______________________
(Michigan county – Michigan residents only)
(country)
Phone: ______________________________________________
Fax Number:
___________________________________

Do you have more than one address:
Yes, I am currently living at a different address than the one listed above and I would like
all mail and other forms of correspondnece sent to my current address.
Current Address: ____________________________________________________________________________________
(street/apt. #)
_____________________________________________________________________________________________
(city, state/region, zip/postal code)
Phone: ______________________________________________
Fax Number:
___________________________________
E-mail Address: ______________________________________________
Date of Birth: ____________________ Sex: ______
(mm/dd/yyyy)




Citizenship Status:
U.S. Citizen
U.S. Permanent Resident
Political Refugee/Asylee in the U.S.
Other
Native Language: _____________________
Birth Place: ____________________________________________________
(nation, state/region, city)
Non-U.S. Citizens residing in the U.S. must provide a copy of their visa with I94.
Country of
Country of
Permanent Residence: _____________________
Citizenship: _____________________
Do you have a
current U.S. visa?: _____________________
Visa Type: _____________________
Issuing Institution: _____________________
If currently in the United States, what date did you enter?: _________________


Have you lived in Michigan for more than one year?
Yes
No, but I have lived in Michigan for ___ months

No, I am not a Michigan resident


Did any of your parents or grandparents graduate from CMU?
Yes If yes, please provide details below:
No
First Name: _____________________
Last Name: __________________________________
Year of Graduation _______
(at time of graduation)
Although optional, ethnic/racial information is requested to fulfill reporting obligations to the U.S. Department of Health and Human Services.


Do you consider yourself to be Hispanic/Latino?
Yes
No

In addition, select one or more of the following racial categories to describe yourself:
American Indian or Alaska Native




Asian
Black or African American
Native Hawaiian or Pacific Islander
White

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