CLARION UNIVERSITY OF PENNSYLVANIA, USA
                                            INTERNATIONAL STUDENT UNDERGRADUATE 
                                                            ADMISSIONS APPLICATION

International  Home | Admissions Home | Clarion Home

 

This form is to be filled out by all non-resident aliens. All information should be typed or printed plainly in English. When the form is completed, send a non-refundable application fee of $40 payable to Clarion University of Pennsylvania. Use a check or money order drawn on a U.S. bank.

This application is for UNDERGRADUATE INTERNATIONAL Applications  ONLY.

Personal Information
Name
Last (Family)
First
Middle
            Use the name as written in Passport
Present Address
Street Number
Town and City

Province
Country
Postal 
Telephone Number

Fax Number
                  Email Address 
                                                   (example: info@clarion.edu)
Permanent address (in home country) 

Country of Birth         Date of Birth

Gender Citizenship
                      Country
Father's Full Name Living
Mother's Full Name Living
Person to notify in case of emergency:
In the United States:      Relationship to you
                                  Name
                                 
                                  Address
                                     
                                  Telephone Number                                          Email Address
In your home country:   Relationship to you
                                  Name
                                 
                                  Address
                                     
                                  Telephone Number                                          Email Address
 Entrance Date:   Term   Year 
If you are already in the United States, you are required to answer the following:

When did you enter the United States? 

What type of visa do you hold?
F-1 (student)       J-1 (exchange visitor)      B-1 or B-2         Other (specify)

If you are a student, in which institution are you currently enrolled?

          
   School Name                                                                         School Address

If you are an exchange visitor, answer the following:

What category   student   trainee  teacher   professor   research scholar   specialist   international visitor

Who is your sponsor?
Educational Background
List below in chronological order, with dates, every school you have attended, beginning with the time you entered secondary school to the present, including each secondary, and post-secondary institution.

Secondary (High School)

Name of School   
Location          
Dates of Attendance
From         To
            (mo., yr.)                           (mo., yr.)
Certificate degree or diploma received
                 
Date Received  (mo.,yr.)

 Name of School   
Location          
Dates of Attendance
From   To
            (mo., yr.)                           (mo., yr.)
Certificate degree or diploma received
                 
Date Received  (mo.,yr.)
---------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------

Post-Secondary

Name of School   
Location          
Dates of Attendance
From         To
            (mo., yr.)                           (mo., yr.)
Certificate degree or diploma received
                 
Date Received  (mo.,yr.)

 Name of School   
Location          
Dates of Attendance
From   To
            (mo., yr.)                           (mo., yr.)
Certificate degree or diploma received
                 
Date Received  (mo.,yr.)
---------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------


Name of School   
Location          
Dates of Attendance
From         To
            (mo., yr.)                           (mo., yr.)
Certificate degree or diploma received
                 
Date Received  (mo.,yr.)
Name of School   
Location          
Dates of Attendance
From   To
            (mo., yr.)                           (mo., yr.)
Certificate degree or diploma received
                 
Date Received  (mo.,yr.)


Name of secondary school contact person
Contact address 
Phone, Fax, and/or E-mail address 
Work in Progress 

You must arrange for Clarion University of Pennsylvania to receive official or certified copies of your academic records throughout your attendance at secondary school, college, university, and professional institutions. Records should list the subjects studied and the grade, work, or other evidence that each individual subject was completed to the satisfaction of the authorities in charge. Records should also include copies of any diplomas, degrees, or other certificates received. If you would like to have any postsecondary work evaluated for transfer credit you must provide a syllabus of each course. Records should indicate a list of subjects studied with grades on a course-by-course basis. Submit both official translated and untranslated records.


List below the languages you know, and indicate for each language your degree of proficiency in reading, writing, and speaking.
Language                              Reading                  Writing            Speaking
                          
                         
                         



All applicants from countries where English is not the official language and applicants who have had their training in a non-English speaking area are asked to supply results for the Test of English as a Foreign Language (TOEFL) or other formal English report as authorized by Clarion University of PA. 
Please indicate the names of tests (SAT-TOEFL-IELTS) you will take or have taken, and the date of the test:
  Test                         Date
  Test                         Date


What is your intended program of study (For a listing of academic choices, please click)


How did you learn about Clarion University?

Financial Information

IMPORTANT: U.S. visa regulations require a letter of acceptance to the University, satisfactory evidence of financial support for the proposed program of study, and a Certificate of Eligibility for Nonimmigrant (F-1) Student (Form I-20) You will need to complete and return the original copy of the Financial Support Statement to the Office of International Programs, Clarion University of Pennsylvania, 840 Wood Street, Clarion,Pennsylvania, 16214-1232  The form will be available after you submit your application form.

 
It is the policy of Clarion university of Pennsylvania that there shall be equal opportunity in all of its educational programs, services, and benefits, and there shall be no discrimination with regard to a student's or prospective student's race, color, religion, sex, national origin, disability age, sexual orientation/affection veteran status or any other factors that are not in accordance with local, state, and federal laws. Direct equal opportunity inquiries to: Assistant to the President for Social Equity, 207 Carrier Administration Building Clarion, PA, 16214-1232, 814-393-2000.

By clicking SUBMIT, I certify that the information contained in this application is complete and accurate, and I understand that submission of inaccurate information can be considered sufficient cause for denying or terminating my enrollment at Clarion University.