Application for Admission - University of North Texas

For office use only
c k m r w x s
#______________ dt______________
RQ sent ________________________
Undergraduate Application for Admission
University of North Texas
For office use only
Blocks ____________________________
Last semester ______________________
Status ________ Sem. hrs. __________
Citizenship ________________________
This application is valid only for the semester indicated and is for the use of U.S. citizens and permanent resident aliens.
Applications received without the nonrefundable $25 application fee (check, money order or credit card authorization) will be returned to the student.
If you hold a degree (B.S., M.A., etc.), do not fill out this form. You must fill out a graduate school application.
Please indicate
the semester
and year for which
admission is
sought (check one
semester only)
1. Social Security no.
❑ Spring 19____
❑ Summer I 19____
❑ Summer II 19____
❑ Fall 19____
Credit Card Holder Authorization
I, _________________________________________________________________________,
(Please print name as shown on credit card)
authorize the University of North Texas to charge my credit card for the application fee of $25.
My credit card number is ______________________________________________________;
expiration date ______________. Type of credit card: ❑ MasterCard ❑ Visa ❑ Discover
________________________________________ ____________________________
Signature of credit card holder
Date
2. Name in full ___________________________________________________________________________________________________________________
(Last name) (First name) (Middle name) (Maiden name)
3. Mailing address ________________________________________________________________________________________________________________
(P.O. box or street address) (Apt. no.) (City) (State) (Zip) (Texas county)
4. Telephone Home _____________________________ ( )
Work ______________________________ ( ) Fax _______________________________
( )
5. Date of birth _________________________ / /
Sex ❑ M ❑ F Place of birth ______________________________________ Age ____________
6. Are you a U.S. citizen ❑ Yes ❑ No If not a U.S. citizen, are you a permanent resident of the United States ❑ Yes ❑ No
If you are a permanent resident, please attach a copy of the front and back of your resident alien card. For tuition classification purposes, you may be
required to present the card in person at a later time for verification. Country of citizenship _____________________________________________________
Resident alien number ________________________________________________________ Date of adjudication ______________________________
/ /
7. Have you ever been convicted of a criminal violation other than minor traffic violations ❑ Yes ❑ No
If yes, please send a statement of details to UNT, Office of the Dean of Students, P.O. Box 305358, Denton, Texas 76203-5358.
8. State of legal residency__________________ If Texas, how long (months and years) have you lived at your present address ____________________
If less than 12 months, list prior address and length of time there. ________________________________________________________________________
Employer for last 12 months (legal guardian’s employer if you are less than 19 years old) ___________________________________________________
Location of employment __________________________________________________________
Employment dates ___________________________
9. Ethnic background. For reporting purposes only, we would appreciate your indicating which of the following groups best describes your ethnic
background. ❑ American Indian or Alaskan Native ❑ Asian or Pacific Islander ❑ White, non-Hispanic origin
❑ African American, Black
❑ Hispanic
10. Do either of your parents (or guardians) have a four-year college degree ❑ Yes ❑ No
11. What classification will you be at the time of your enrollment at UNT
❑ FRESHMAN (0-29 sem. hrs.) ❑ SOPHOMORE (30-59 sem. hrs.) ❑ JUNIOR (60-89 sem. hrs.) ❑ SENIOR (90+ sem. hrs.)
12. Have you ever attended UNT ❑ Yes ❑ No If yes, semester last enrolled _____________________________________________________________
If you attended UNT five or more years ago, you must resubmit official transcripts from each school you have attended.
Names while attending UNT ______________________________________________________________________________________________________
13. TYPE OF UNDERGRADUATE ADMISSION: Check appropriate admission type.
NEW UNT APPLICANT
❑ Freshman, with no college work
❑ Freshman, with college work
❑ College transfer
❑ Transient for one semester only (fall/spring)
❑ Summer visitor (from another college/university)
❑ Other
RETURNING UNT STUDENT
❑ Former student, no college work since last at UNT
❑ Former student, with college work since last at UNT
❑ Former student returning as transient for one semester only
❑ Former summer visitor (from another college/university)
❑ Other

14. Check the UNT college or school under which degree is sought:
❑ Arts and Sciences ❑ Business Administration ❑ Community Service ❑ Education ❑ Library and Information Sciences
❑ Merchandising and Hospitality Management ❑ Music ❑ Visual Arts ❑ I am uncertain at this time.
Major _____________________________________________________
Degree sought ___________________________________________________
15. High school last attended _____________________________________ City __________________________________ State _________________
Graduation date ____________________________________________________________ If not graduated, have you taken the GED ❑ Yes ❑ No
Have you taken the SAT I ❑ Yes ❑ No
If yes, test date ____________________________________
Have you taken the ACT ❑ Yes ❑ No If yes, test date ____________________________________
Check admissions requirements
to see if you are required to
submit SAT I or ACT scores.
Have you taken the Texas Academic Skills Program (TASP) test ❑ Yes ❑ No If yes, test date ___________________________________________
16. College record (list most recent first)
You must complete this section if you have ever attended any college. Failure to list all colleges will be considered an intentional
omission for reason and lead to forced withdrawal. Former students list only schools attended since UNT. Former students who were here as
transients must list all colleges attended. DO NOT ABBREVIATE.
College attended City and state Semester / Years attended Check scholastic status
(do not abbreviate) (beginning - ending) good probation suspension
17. Are you presently attending another college ❑ Yes ❑ No If yes, for how many semester hours __________________________________________
Name of college _____________________________________________________
Through what semester and year __________________________
An official transcript from each college listed must be submitted. Your application can be processed only after all necessary credentials
have been received. (Undergraduate transient students are required to submit a transcript only from the last college or university attended
but will be required to submit all transcripts at a later time if regular admission is sought.) Academic good standing at all prior colleges is
required of all incoming students.
I certify that all information given on this application is complete and correct and may be used to determine my admission status and my
residency eligibility. I authorize the university to verify the information I have provided. I agree to notify the proper officials of the institution
of any changes in the information provided. I understand that falsification or omission of any of the academic or residency information will
void my admission, cancel my enrollment, and/or result in appropriate disciplinary action. I authorize the university to electronically access
my Texas Academic Skills Program test results.
_________________________________________________________________________
Applicant’s signature
_____________________________________________
Date
Applications received
without the nonrefundable
$25 application fee (check,
money order or credit card
authorization) will be
returned to the student. See
front of application for credit
card authorization form.
Return this form to:
University of North Texas
Office of Undergraduate Admissions
Eagle Student Services Center, Room 305
P.O. Box 311277
Denton, Texas 76203-1277
(940) 565-2681 • Fax (940) 565-2408
Admissions information hotline:
(800) UNT-8211 (in Denton 565-4895)
To enroll for: Apply by:
Spring 1998 ........December 1, 1997
Summer I 1998 ..........May 15, 1998
Summer II 1998 ............July 1, 1998
Fall 1998....................June 15, 1998
Spring 1999 ........December 1, 1998
Immunization is an integral part of your health care. You should make sure that your immunizations for measles, tetanus and poliomyelitis are current.
Please contact your physician for more information.
It is the policy of the University of North Texas not to discriminate on the basis of race, color, religion, sex, age, national origin, disability (where reasonable accommodations can be made), disabled veteran status or
veteran of the Vietnam era status in its educational programs, activities, admissions or employment policies. In addition to complying with federal and state equal opportunity laws and regulations, the university
through its diversity policy declares harassment based on individual differences (including sexual orientation) inconsistent with its mission and educational goals. Direct questions or concerns to the equal opportunity
office, (940) 565-2456, or the dean of students, (940) 565-2648. TDD access is available through Relay Texas: (800) 735-2989.
PAIS 1/98 (98-004)