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Application for Special Admission

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Full name: *

Other last names:

State any last names (other than nicknames) by which you may be identified in relevant records

Date of Birth: *

Permanent Address: *

Mailing address:

If different than permanent address

Cell Phone: *

Other phone:

Email address: *

Citizenship Status: *

City and State of Birth: *

Marital Status: *

Gender: *

Home Church Name:

Denomination:

Ethnic Status: *

If other, please specify:

Parent/Guardian Information

Last name Parent/Guardian:

First name Parent/Guardian:

Relation:

Mother

Father

Guardian

Parent/Guardian Address:

Street address
City, State, Zip Code

Parent/Guardian employer/title:

Parent/Guardian Business Phone:

Parent/Guardian occupation:

Parent/Guardian home phone:

Parent/Guardian highest education completed:

If other, explain:

Last name Parent/Guardian:

First name Parent/Guardian:

Relation:

Parent/Guardian Address:

Street address
City, State, Zip Code

Parent/Guardian employer/title:

Parent/Guardian Business Phone:

Parent/Guardian occupation:

Parent/Guardian home phone:

Parent/Guardian highest education completed:

If other, explain:

Educational Data

High School Name:

High School Address:

Date of High School Graduation: *

Have you taken the...: *

SAT

ACT

N/A

Select all that apply

When did you take them?:

Have you requested the scores be sent to PLNU?:

Have you requested your high school transcripts?: *

If yes, when?:

Have you ever attended college?: *

Yes

List all colleges attended, starting with the most recent:

College Name - College Address - From MM/YY - To MM/YY - Units Completed - Units in Progress (if applicable)

Have you requested your college transcripts be sent to PLNU?: *

If yes, when?:

Have you taken the TOEFL test?:

International Students ONLY

If yes, when?:

Score:

PLNU Information

Year of intended enrollment at PLNU: *

Semester of intended enrollment at PLNU: *

Check one

I plan to be...: *

I plan to enter as a: *

Courses intending to take: *

Intended Major:

How did you become interested in PLNU?:

Parents

High School Counselor

Pastor

Alumnus

PLNU Student

University Publication

University Representative

Campus Visit

Summer Camp/Conference

Other

If other, explain:

How do you plan to meet university expenses? : *

Savings and Reserves

Part-Time Employment

Full-Time Employment

Scholarships

Parents

Loans

Cal State Grants

Other

Have you already been in touch with a PLNU Faculty/Staff member concerning enrolling?: *

If yes, who?:

References

Name family members or friends who are PLNU students or Alumni (include maiden name is applicable)

1) Full Name:

Dates attended PLNU:

Relationship:

2) Full Name:

Dates attended PLNU:

Relationship:

3) Full Name:

Dates attended PLNU:

Relationship:

Personal Conduct

Have you ever been dimissed or asked to withdraw from any educational institution?: *

If yes, explain:

Have you been judged guilty of criminal or civil offenses other than minor traffic violations?: *

If yes, explain:

With your present understanding of PLNU, discuss why you have chose to apply:

IMPORTANT: PLEASE READ BEFORE SUBMITTING

By clicking "submit" to this application, you are giving your electronic signature. You are indicating both your desire to be a student at Point Loma Nazarene University, and your commitment to support the ideals and standards of this University, including the following:
1) To be supportive of the University and all persons involved, including faculty, staff, and students, to the best of your ability.
2) To give thorough attention to the development of your whole person, including regular class attendance and chapel attendance as required by the University.
3) To abstain from using illegal drugs, alcoholic beverages, tobacco in any form, and profane language.
4) To abstain from participating in behavior that detracts from spiritual growth and breaks down proper moral inhibitions and reserve.

I have read and agree with the above statement: *

Yes

YOU'RE ALMOST DONE!

By clicking submit you have finished the application. Make sure everything is correct prior to pressing submit as you can't go back and change it.

If you're ready, click submit!