Kliesen International Undergraduate Admission Form

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Kliesen International and Cultural Center

411 S.W. 24th Street

San Antonio, TX 78207-4689

(210) 431-3978

Personal Data
Date of Birth	Gender   Female Male
Family Name	First Name	Middle Name
Other Names	Suffix	Ethnicity
Permanent Mailing Address
Street and Number
City	State	Zip Code
Country
Current Mailing Address
Current Street and Number
Current City	Current State	Current Zip Code
Current Country
Phone Number	Country Code, City Code (if outside the US)	Email Address
Did either of you parents receive a bachelor's or higher degree from a university?   Yes No
Are you currently on academic suspension or probation from a college or university?   Yes No
Educational Data
Proposed Entry Status Choose an Entry Status Transient Non-Degree Post/baccalaureate Readmit International Freshman International Transfer Freshman (never attended college/except dual credit or summer credit after high school graduation) Transfer (previously attended college or university;seeking degree from OLLU) Transient (credits to be transferred to home institution) Auditor (not seeking credit) Non-degree (for credit but not for a degree) Post/baccalaureate (hold a bachelor's degree from OLLU or another institution; taking undergraduate courses) Readmit (previously attended OLLU)
Expected Enrollment Term Choose Enrollment Term Fall Spring Summer
Academic Major of Interest Choose an Academic Program Accounting (SA, SAEP)- BBA Professional Accounting (SA, SAEP) - BBA American Studies (SA) - BA American Studies (Secondary Ed) (SA) - BA Art (SA) - BA Biology (SA) - BA Business-Undeclared (SA) - BBA Chemistry (SA) - BA Chemistry (SA) - BS Communication Arts w/a minor in English (SA) - BA Communication Disorders w/a minor in Psychology (SA) - BA Drama (SA) - BA Early Elementary Education (Bi-Lingual) (SA) - BS Early Elementary Education (Pre K-4) (SA) - BS Art (Seconday Ed) (SA) - BA Biology (Secondary Ed) (SA) - BA Math (Secondary Ed) (SA) - BA Science Composite (Secondary Ed) (SA) - BA Spanish (Secondary Ed) (SA) - BA Generic Special Education (Elementary) (SA) - BS Generic Special Education (Secondary) (SA) - BS Electronic Commerce & Information Systems - (SA, SAEP, DAL) BS Electronic Commerce & Information Systems (SA, SAEP, HOU, DAL) - BBA English (SA )- BA Fine Arts (SA, DAL) - BA Fine Arts with a core in Art (SA, HOU) - BA Fine Arts with a core in English (SA, HOU) - BA Fine Arts with a core in Music (SA) - BA History (Secondary Ed) (SA) - BA History (SA) - BA Human Resources Development (SAEP ONLY,HOU ONLY,DAL ONLY) - BA Human Resources Management (SA,SAEP, DAL) - BBA Human Sciences (SA, HOU, DAL) - BA Human Sciences (SA, HOU, DAL) - BAS Liberal Studies (SA, HOU, DAL) - BAS Liberal Studies (SA, HOU, DAL) - BA Liberal Studies w/a core in Philosophy (SA) - BAS Liberal Studies w/a core in Religious Studies (SA) - BAS Mexican American Studies (SA) - BA Management (SAEP ONLY,HOU ONLY,DAL ONLY) - BA Management (SA, SAEP,HOU, DAL) - BAS General Management (SA, SAEP,HOU) - BBA Marketing (SA, SAEP, DAL) - BBA Math (SA) - BA Natural Sciences (SA) - BA Natural Sciences w/a core in Biology (SA) - BA Natural Sciences w/a core in Chemistry (SA) - BA Natural Sciences w/a core in Environmental Science (SA) - BA Organizational Leadership (SAEP ONLY) - BS Philosophy (SA) - BA Political Science (SA) - BA Psychology (SA, HOU, DAL) - BA Religious Studies (SA) - BA Social Work (SA) - BSW Social Studies (SA) - BA Social Studies w/a core in History (SA) - BA Social Studies w/a core in Political Science (SA) - BA Sociology (SA) - BA Spanish (SA) - BA Speech Pathology (SA) - BA Undeclared (SA) - BA SAEP - Degree only available in the San Antonio Extended Degree Programs HOU - OLLU Houston DAL - OLLU Dallas
Do you plan to live on campus once accepted to Our Lady of the Lake University?   Yes No
Admissions Test (Optional for International Students)
Have you taken the SAT or ACT college entrance exam?   Yes No
If yes, please have all official test scores sent directly to OLLU (OLLU SAT code is 6550; OLLU ACT code is 4140
Are you a U.S. citizen?   Yes No
If you are a U.S. citizen, please complete this form
If no, are you a permanent resident or refugee?   Yes No
If yes, Alien #	Date of Approval
If no, do you have or will you apply for a student (F-1) visa or any other type of temporary non-immigrant visa?   Yes No
Type of Visa
What is your country of birth?	Choose a Country Afghanistan Algeria Antigua Argentina Australia Austria Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bolivia Botswana Brazil Bulgaria Burma (Myanmar) Cambodia Cameroon Canada Cape Verde Chili People's Republic of China Columbia Costa Rica Croatia Cuba Cyprus Czechoslovakia Denmark Dominican Republic Ecuador Egypt El Salvador England Ethiopa Fiji Finland France French Polynesia Gambia Germany Ghana Greece Grenada Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kenya Korea Kuwait Laos Lebanon Lesotho Liberia Libya Macao Madagascar Maharashtra Malawi Malaysia Mali Mauritius Mexico Morocco Namibia Nepal Netherlands Antilles Netherlands New Zealand Nicaragua Nigeria Norway Oman Pacific Island Trust Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saudia Arabia Senegal Sierra Leone Singapore Somali South Africa Spain Sri Lanka Sudan Suriname Swaziland Syria Taiwan Tanzania Thailand Togo Trinidad & Tobago Tunisia Turkey United Arab Emirates Uganda Ukraine United Kingdom United States of America Uruguay Former USSR Venezuela Vietnam West Indies Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe
What is your country of citizenship?	Choose a Country Afghanistan Algeria Antigua Argentina Australia Austria Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bolivia Botswana Brazil Bulgaria Burma (Myanmar) Cambodia Cameroon Canada Cape Verde Chili People's Republic of China Columbia Costa Rica Croatia Cuba Cyprus Czechoslovakia Denmark Dominican Republic Ecuador Egypt El Salvador England Ethiopa Fiji Finland France Frech Polynesia Gambia Germany Ghana Greece Grenada Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kenya Korea Kuwait Laos Lebanon Lebanon Lesotho Liberia Libya Macao Madagascar Maharashtra Malawi Malaysia Mali Mauritius Mexico Morocco Namibia Nepal Netherlands Antilles Netherla New Zealand Nicaragua Nigeria Norway Oman Pacific Island Trust Pakistan Panama Payaguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saudia Arabia Senegal Sierra Leone Singapore Somali South Africa Spain Sri Lanka Sudan Suriname Swaziland Syria Taiwan Tanzania Thailand Togo Trinidad & tobago Tunisia Turkey United Arab Emirates Uganda Ukraine United Kingdon United States of America Uruguay Former USSR Venezuela Vietnam West Indies Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe
If your native language is not English, have you taken the TOEFL (Test of English as a Foreign Language)?   Yes No
If no, when do you plan to take the TOEFL?
If yes, please give your score
Please provide an official TOEFL report with a minimum of 525 score (paper based) and 197 score (computer based). Please note that the requirement for TOEFL is waived if you finished high school in the United States.
OLLU TOEFL institution code: 6550
I certify that the information on this application is complete and correct and understand that the submission of false information is grounds for denial of my application, withdrawal of any offer of admission, cancellation, or appropriate disciplinary action. I understand that the University expects a high standard of conduct from its students, and if accepted for admission, I will abide by all rules and regulations of Our Lady of the Lake University as set forth in the OLLU Bulletin/Undergraduate Catalog and OLLU Student Handbook. I authorize OLLU to verify the information I have provided. I agree to notify the proper official of the institution of any changes in the information provided. I understand that academic transcripts submitted in support of an application become the property of OLLU and cannot be returned. Submission of this application authorizes an OLLU admissions representative to obtain my offical transcript(s).
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